Carr, Theresa Marie
Carr, Theresa Marie is an sole proprietor health care provider with primary practice located at 332 W Superior St Suite 300, Duluth MN 55802-1808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Carr, Theresa Marie can be contacted via phone (218) 722-4379.Contact Information
Primary practice address
332 W Superior St Suite 300
Duluth MN 55802-1808
Phone: (218) 722-4379
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | CNS0322 | Minnesota |
Profile Details
| NPI number | 1346269602 |
|---|---|
| LBN Legal business name | Carr, Theresa Marie |
| Credentials | RN, CNS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Feb 27th, 2017 - about 7 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 | 1346269602 | NPPES |
| Minnesota | MEDICAID | 953172600 |
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