Casper-Klock, Theresa Anne

Casper-Klock, Theresa Anne is an sole proprietor health care provider with primary practice located at 33 William St Ste 1, Auburn NY 13021-3730. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Casper-Klock, Theresa Anne can be contacted via phone (315) 253-8891.

Contact Information

Primary practice address
33 William St Ste 1 Auburn NY 13021-3730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 043090 New York

Profile Details

NPI number 1013911502
LBN Legal business name Casper-Klock, Theresa Anne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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