Hawthorne, Terresa Louise

Hawthorne, Terresa Louise is an individual health care provider with primary practice located at 1160 W Broad St , Columbus OH 43222-1352. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hawthorne, Terresa Louise can be contacted via phone (614) 274-1455.

Contact Information

Primary practice address
1160 W Broad St Columbus OH 43222-1352
Phone: (614) 274-1455
Fax: (614) 274-1433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 35047890 Ohio
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 35047890 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35047890 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3504789OH Ohio

Profile Details

NPI number 1104891944
LBN Legal business name Hawthorne, Terresa Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Nov 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104891944 NPPES
Ohio MEDICAID 0892584

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