King, Teresa

King, Teresa is an individual health care provider with primary practice located at 4974 Manchester Ave , Saint Louis MO 63110-2010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. King, Teresa can be contacted via phone (314) 289-6566.

Contact Information

Primary practice address
4974 Manchester Ave Saint Louis MO 63110-2010
Phone: (314) 289-6566
Fax: (314) 289-6566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 146904 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-006077 Illinois

Profile Details

NPI number 1841310968
LBN Legal business name King, Teresa
Credentials ANP, GNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Mar 23rd, 2012 - about 13 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 1841310968 NPPES
Illinois Other 209-006077 IL APN LICENSE
Illinois Other 041-330101 IL APN LICENSE

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