Spruill, Theresa

Spruill, Theresa is an individual health care provider with primary practice located at 255 Lafayette Ave , Suffern NY 10901-4812. 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. Spruill, Theresa can be contacted via phone (845) 368-5000.

Contact Information

Primary practice address
255 Lafayette Ave Suffern NY 10901-4812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003325 New York

Profile Details

NPI number 1104151612
LBN Legal business name Spruill, Theresa
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2009
Last updated Oct 16th, 2009 - about 16 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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