Gannon, Teena Marie
Gannon, Teena Marie is an sole proprietor health care provider with primary practice located at 1035 County Road 1 Apt.215 , South Point OH 45680-7382. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Gannon, Teena Marie can be contacted via phone (740) 302-7354.Contact Information
Primary practice address
1035 County Road 1 Apt.215
South Point OH 45680-7382
Phone: (740) 302-7354
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | RP582668 | Ohio |
Profile Details
| NPI number | 1801476940 |
|---|---|
| LBN Legal business name | Gannon, Teena Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2021 |
| Last updated | Apr 13th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801476940 | NPPES |
| Ohio | Other | 1022401 | CHOICES |
| Ohio | MEDICAID | 1022Q401 | CHOICES |
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