Soutar, Theresa

Soutar, Theresa is an individual health care provider with primary practice located at 1405 Chews Landing Rd , Laurel Springs NJ 08021-2769. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Soutar, Theresa can be contacted via phone (856) 227-6575.

Contact Information

Primary practice address
1405 Chews Landing Rd Laurel Springs NJ 08021-2769
Fax: (856) 374-9495
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26N009304400 New Jersey

Profile Details

NPI number 1790737963
LBN Legal business name Soutar, Theresa
Credentials R.N. APN-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 19th, 2010 - 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 1790737963 NPPES
New Jersey MEDICAID 6937306

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