Patrick, Teressa J
Patrick, Teressa J is an individual health care provider with primary practice located at 1530 Needmore Rd Ste 101 , Dayton OH 45414-3900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Patrick, Teressa J can be contacted via phone (937) 534-7330.Contact Information
Primary practice address
1530 Needmore Rd Ste 101
Dayton OH 45414-3900
Phone: (937) 534-7330
Fax: (937) 395-3682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35051929 | Ohio |
Profile Details
| NPI number | 1992786222 |
|---|---|
| LBN Legal business name | Patrick, Teressa J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Dec 3rd, 2019 - about 6 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 | 1992786222 | NPPES |
| Ohio | MEDICAID | 0590301 |
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