Tang, Teodoro C

Tang, Teodoro C is an individual health care provider with primary practice located at 3349 American Ave Ste B , Jefferson City MO 65109-1079. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tang, Teodoro C can be contacted via phone (573) 635-9655.

Contact Information

Primary practice address
3349 American Ave Ste B Jefferson City MO 65109-1079
Phone: (573) 635-9655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2006001147 Missouri

Profile Details

NPI number 1073528956
LBN Legal business name Tang, Teodoro C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Aug 2nd, 2011 - about 13 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 1073528956 NPPES
Missouri Other V08672 MERCY
Missouri Other 4400155 MERCY

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