Rouse, Theresa

Rouse, Theresa is an sole proprietor health care provider with primary practice located at 640 Cutlip Rd , Jackson OH 45640-9451. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Rouse, Theresa can be contacted via phone (740) 710-2681.

Contact Information

Primary practice address
640 Cutlip Rd Jackson OH 45640-9451
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1790385193
LBN Legal business name Rouse, Theresa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2020
Last updated Oct 27th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790385193 NPPES
Ohio Other 4064686 OHIO DODD
Ohio MEDICAID 0164124 OHIO DODD

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