Mcketney, Teresa Louise
Mcketney, Teresa Louise is an individual health care provider with primary practice located at 1668 W Peace St , Canton MS 39046-5332. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mcketney, Teresa Louise can be contacted via phone (601) 859-5213.Contact Information
Primary practice address
1668 W Peace St
Canton MS 39046-5332
Phone: (601) 859-5213
Fax: (601) 859-9477
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12137 | Mississippi |
Profile Details
NPI number | 1265589360 |
---|---|
LBN Legal business name | Mcketney, Teresa Louise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2007 |
Last updated | Sep 22nd, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265589360 | NPPES |
Mississippi | MEDICAID | 00117360 |
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