Grumbles, Theresa Vila
Grumbles, Theresa Vila is an sole proprietor health care provider with primary practice located at 4182 N Bank St , Kingman AZ 86409-2715. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Grumbles, Theresa Vila can be contacted via phone (928) 692-6456.Contact Information
Primary practice address
4182 N Bank St
Kingman AZ 86409-2715
Phone: (928) 692-6456
Fax: (928) 692-1507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | Arizona |
Profile Details
| NPI number | 1235343583 |
|---|---|
| LBN Legal business name | Grumbles, Theresa Vila |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 26th, 2007 - about 17 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 | 1235343583 | NPPES |
| Arizona | MEDICAID | 567729 |
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