Teague, Amy Kathryn
Teague, Amy Kathryn is an individual health care provider with primary practice located at 9602 Patterson Ave , Richmond VA 23229-6015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Teague, Amy Kathryn can be contacted via phone (804) 217-9601.Contact Information
Primary practice address
9602 Patterson Ave
Richmond VA 23229-6015
Phone: (804) 217-9601
Fax: (804) 217-9602
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110840841 | Virginia |
Profile Details
NPI number | 1326188269 |
---|---|
LBN Legal business name | Teague, Amy Kathryn |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2007 |
Last updated | Jun 16th, 2018 - about 6 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 | 1326188269 | NPPES |
Virginia | Other | C06695 | GROUP PTAN |
Virginia | Other | C06778 | GROUP PTAN |
Virginia | Other | C06778 | GROUP PTAN |
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