Mccollister, Teresia
Mccollister, Teresia is an individual health care provider with primary practice located at 2411 N Broadway , Los Angeles CA 90031-2218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mccollister, Teresia can be contacted via phone (323) 987-2000.Contact Information
Primary practice address
2411 N Broadway
Los Angeles CA 90031-2218
Phone: (323) 987-2000
Fax: (323) 987-1448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | RN 268022 | California |
Profile Details
| NPI number | 1336132166 |
|---|---|
| LBN Legal business name | Mccollister, Teresia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Feb 1st, 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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