Defabis, Therese Lynn

Defabis, Therese Lynn is an individual health care provider with primary practice located at 1310 S Lebanon St , Lebanon IN 46052-2792. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Defabis, Therese Lynn can be contacted via phone (765) 482-7005.

Contact Information

Primary practice address
1310 S Lebanon St Lebanon IN 46052-2792
Phone: (765) 482-7005
Fax: (765) 483-3021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000314 Indiana

Profile Details

NPI number 1538250618
LBN Legal business name Defabis, Therese Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 29th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538250618 NPPES
Indiana MEDICAID 200855440

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