Nuttli, Theresa Jeanne

Nuttli, Theresa Jeanne is an individual health care provider with primary practice located at 520 Ridgewood Dr , Metairie LA 70001-6126. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Nuttli, Theresa Jeanne can be contacted via phone (504) 460-0270.

Contact Information

Primary practice address
520 Ridgewood Dr Metairie LA 70001-6126
Phone: (504) 460-0270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD.206812 Louisiana

Profile Details

NPI number 1346484235
LBN Legal business name Nuttli, Theresa Jeanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2009
Last updated Sep 13th, 2016 - about 8 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 1346484235 NPPES
Louisiana MEDICAID 1883972

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