Teagle, Donald Edward
Teagle, Donald Edward is an sole proprietor health care provider with primary practice located at 1321 Glendale Galleria , Glendale CA 91210-1400. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Teagle, Donald Edward can be contacted via phone (818) 956-0873.Contact Information
Primary practice address
1321 Glendale Galleria
Glendale CA 91210-1400
Phone: (818) 956-0873
Fax: (818) 956-1307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9454T | California |
Profile Details
| NPI number | 1700931706 |
|---|---|
| LBN Legal business name | Teagle, Donald Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700931706 | NPPES |
| California | MEDICAID | GSD005100 |
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