Plasse Goosen, Teresa Marie

Plasse Goosen, Teresa Marie is an sole proprietor health care provider with primary practice located at 1540 Beachview Dr , Virginia Beach VA 23464-7225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Plasse Goosen, Teresa Marie can be contacted via phone (757) 619-6560.

Contact Information

Primary practice address
1540 Beachview Dr Virginia Beach VA 23464-7225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024165686 Virginia

Profile Details

NPI number 1295701845
LBN Legal business name Plasse Goosen, Teresa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated Dec 7th, 2022 - about 2 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 1295701845 NPPES
Virginia MEDICAID 010036917

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