Schrock, Teri Jean

Schrock, Teri Jean is an individual health care provider with primary practice located at 12 High St Ste. 301, Lewiston ME 04240-7676. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Schrock, Teri Jean can be contacted via phone (207) 795-5730.

Contact Information

Primary practice address
12 High St Ste. 301 Lewiston ME 04240-7676
Phone: (207) 795-5730
Fax: (207) 795-5749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA441 Maine

Profile Details

NPI number 1760478382
LBN Legal business name Schrock, Teri Jean
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Sep 17th, 2012 - about 14 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 1760478382 NPPES
Maine MEDICAID 295290099

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