Betteker, Theresa Ann
Betteker, Theresa Ann is an sole proprietor health care provider with primary practice located at 1021 Stonekirk Trce , Lawrenceville GA 30043-2666. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Betteker, Theresa Ann can be contacted via phone (770) 995-2481.Contact Information
Primary practice address
1021 Stonekirk Trce
Lawrenceville GA 30043-2666
Phone: (770) 995-2481
Fax: (770) 586-5101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 020021 | Georgia |
Profile Details
| NPI number | 1205098647 |
|---|---|
| LBN Legal business name | Betteker, Theresa Ann |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2008 |
| Last updated | Jun 26th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205098647 | NPPES |
| Georgia | MEDICAID | 020021 |
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