Perkins, Theisha Y
Perkins, Theisha Y is an individual health care provider with primary practice located at 364 Torrence Ave , Calumet City IL 60409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Perkins, Theisha Y can be contacted via phone (708) 868-9457.Contact Information
Primary practice address
364 Torrence Ave
Calumet City IL 60409
Phone: (708) 868-9457
Fax: (708) 868-6910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036106661 | Illinois |
Profile Details
NPI number | 1356459549 |
---|---|
LBN Legal business name | Perkins, Theisha Y |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2006 |
Last updated | Jan 27th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356459549 | NPPES |
Illinois | MEDICAID | 036106661 |
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