Micotto, Teresa Lynn
Micotto, Teresa Lynn is an sole proprietor health care provider with primary practice located at 1100 Wilford Hall Loop Attn: 59 Mdw/Sghc, Jbsa Lackland TX 78236-5638. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is her primary health care specialty. Micotto, Teresa Lynn can be contacted via phone (210) 292-9556.Contact Information
Primary practice address
1100 Wilford Hall Loop Attn: 59 Mdw/Sghc
Jbsa Lackland TX 78236-5638
Phone: (210) 292-9556
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Military Health Care Provider | 171000000X | 29639 | Nebraska |
Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 29639 | Nebraska |
Profile Details
NPI number | 1932580388 |
---|---|
LBN Legal business name | Micotto, Teresa Lynn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 11th, 2015 |
Last updated | Oct 10th, 2023 - about last year |
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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