Mejorado, Teresa Dawn
Mejorado, Teresa Dawn is an individual health care provider with primary practice located at 1701 E College Ave , Bloomington IL 61704-2101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mejorado, Teresa Dawn can be contacted via phone (309) 661-6230.Contact Information
Primary practice address
1701 E College Ave
Bloomington IL 61704-2101
Phone: (309) 661-6230
Fax: (309) 664-3461
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085-001992 | Illinois |
Profile Details
NPI number | 1518118140 |
---|---|
LBN Legal business name | Mejorado, Teresa Dawn |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 1st, 2008 |
Last updated | Sep 16th, 2014 - about 11 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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