Quigley, Tera Marie
Quigley, Tera Marie is an individual health care provider with primary practice located at 200 S Jordan Ave , Bloomington IN 47405-7002. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Quigley, Tera Marie can be contacted via phone (812) 856-1186.Contact Information
Primary practice address
200 S Jordan Ave
Bloomington IN 47405-7002
Phone: (812) 856-1186
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 23002523A | Indiana |
Profile Details
| NPI number | 1134563513 |
|---|---|
| LBN Legal business name | Quigley, Tera Marie |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2013 |
| Last updated | Apr 29th, 2013 - about 12 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 | 1134563513 | NPPES |
| Indiana | MEDICAID | 100276980A |
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