Tate, Teresa Lynn

Tate, Teresa Lynn is an individual health care provider with primary practice located at 106 Lockheed Dr , Beaver WV 25813-8962. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tate, Teresa Lynn can be contacted via phone (304) 253-5155.

Contact Information

Primary practice address
106 Lockheed Dr Beaver WV 25813-8962
Phone: (304) 253-5155
Fax: (691) 207-7011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 51350 West Virginia

Profile Details

NPI number 1194776039
LBN Legal business name Tate, Teresa Lynn
Credentials APRN,BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Oct 26th, 2022 - about 2 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 1194776039 NPPES
West Virginia Other 1611 RXA
West Virginia MEDICAID 3810007225 RXA

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