Poole, Teresa Michelle
Poole, Teresa Michelle is an individual health care provider with primary practice located at 9040A Jackson Ave Madigan Army Medical Center Jblm , Tacoma WA 98431-6307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Poole, Teresa Michelle can be contacted via phone (253) 968-3066.Contact Information
Primary practice address
9040A Jackson Ave Madigan Army Medical Center Jblm
Tacoma WA 98431-6307
Phone: (253) 968-3066
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP9162930 | Florida |
Profile Details
NPI number | 1942435706 |
---|---|
LBN Legal business name | Poole, Teresa Michelle |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 22nd, 2009 |
Last updated | May 5th, 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 | 1942435706 | NPPES |
Florida | MEDICAID | 013828700 |
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