Ervin, Teresa

Ervin, Teresa is an sole proprietor health care provider with primary practice located at 323 Marion Pike Ste 1 , Coal Grove OH 45638-2958. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Ervin, Teresa can be contacted via phone (740) 237-4981.

Contact Information

Primary practice address
323 Marion Pike Ste 1 Coal Grove OH 45638-2958
Phone: (740) 237-4981
Fax: (877) 325-2816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922672112
LBN Legal business name Ervin, Teresa
Credentials CMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2021
Last updated Apr 24th, 2024 - about 7 months 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 1922672112 NPPES
Ohio MEDICAID 0378240

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