Ledger, Theresa M

Ledger, Theresa M is an individual health care provider with primary practice located at 11803 Jefferson Ave Ste 100, Newport News VA 23606-2565. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ledger, Theresa M can be contacted via phone (757) 594-1862.

Contact Information

Primary practice address
11803 Jefferson Ave Ste 100 Newport News VA 23606-2565
Phone: (757) 594-1862
Fax: (757) 275-9785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102049964 Virginia

Profile Details

NPI number 1437124096
LBN Legal business name Ledger, Theresa M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jan 25th, 2012 - about 12 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 1437124096 NPPES
Virginia MEDICAID 010104505

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