Economou, Theresa Faith
Economou, Theresa Faith is an individual health care provider with primary practice located at 1025 Verdae Blvd Suite A, Greenville SC 29607-4032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Economou, Theresa Faith can be contacted via phone (864) 242-4683.Contact Information
Primary practice address
1025 Verdae Blvd Suite A
Greenville SC 29607-4032
Phone: (864) 242-4683
Fax: (864) 240-5028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 201404814NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F301965 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 3125 | South Carolina |
Profile Details
| NPI number | 1780713461 |
|---|---|
| LBN Legal business name | Economou, Theresa Faith |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1780713461 | NPPES |
| Oregon | Other | 201404814NP-PP | ADULT NURSE PRACTITIONER |
| Oregon | Other | 201403477 RN | ADULT NURSE PRACTITIONER |
| Oregon | MEDICAID | NP1489 | ADULT NURSE PRACTITIONER |
| Oregon | Other | 3125RX | ADULT NURSE PRACTITIONER |
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