O'Brien, Theresa A.

O'Brien, Theresa A. is an sole proprietor health care provider with primary practice located at 1 N Willard St , Cottonwood AZ 86326-3651. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. O'Brien, Theresa A. can be contacted via phone (928) 634-2231.

Contact Information

Primary practice address
1 N Willard St Cottonwood AZ 86326-3651
Phone: (928) 634-2231
Fax: (928) 634-2874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X SW10184 Arizona

Profile Details

NPI number 1154401214
LBN Legal business name O'Brien, Theresa A.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1154401214 NPPES
Arizona MEDICAID 615164

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