Etten, Teresa T

Etten, Teresa T is an individual health care provider with primary practice located at 10103 Ridgegate Pkwy Suite 200, Lone Tree CO 80124-5520. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Etten, Teresa T can be contacted via phone (303) 788-6657.

Contact Information

Primary practice address
10103 Ridgegate Pkwy Suite 200 Lone Tree CO 80124-5520
Phone: (303) 788-6657
Fax: (303) 788-8837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 40631 Colorado
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 40631 Colorado

Profile Details

NPI number 1265587224
LBN Legal business name Etten, Teresa T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Feb 1st, 2022 - about 3 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 1265587224 NPPES
Colorado MEDICAID 76185273
Colorado Other 160059141

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