Matzke, Teresa Marie

Matzke, Teresa Marie is an individual health care provider with primary practice located at 561 W Central Ave , Delaware OH 43015-1410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matzke, Teresa Marie can be contacted via phone (740) 615-1000.

Contact Information

Primary practice address
561 W Central Ave Delaware OH 43015-1410
Phone: (740) 615-1000
Fax: (740) 615-2565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP.14059 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14059 Ohio

Profile Details

NPI number 1154321420
LBN Legal business name Matzke, Teresa Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Feb 23rd, 2018 - about 6 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 1154321420 NPPES
Ohio MEDICAID 0082732
Ohio Other H185562

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