Ross, Theresa J
Ross, Theresa J is an individual health care provider with primary practice located at 112 Saint John St , Monroe LA 71201-7322. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Ross, Theresa J can be contacted via phone (318) 387-5681.Contact Information
Primary practice address
112 Saint John St
Monroe LA 71201-7322
Phone: (318) 387-5681
Fax: (318) 322-9957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 017867 | Louisiana |
Profile Details
| NPI number | 1528072188 |
|---|---|
| LBN Legal business name | Ross, Theresa J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jun 12th, 2019 - about 5 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 | 1528072188 | NPPES |
| Louisiana | MEDICAID | 1342106 |
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