Robertson, Teresa A
Robertson, Teresa A is an individual health care provider with primary practice located at 3011 North Broadway Suite 23, Boulder CO 80302. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Robertson, Teresa A can be contacted via phone (303) 258-3904.Contact Information
Primary practice address
3011 North Broadway Suite 23
Boulder CO 80302
Phone: (303) 258-3904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 90674NUBURG | Colorado |
Profile Details
| NPI number | 1407966062 |
|---|---|
| LBN Legal business name | Robertson, Teresa A |
| Credentials | CNM RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1407966062 | NPPES |
| Colorado | MEDICAID | 02906746 |
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