Teague, Van M

Teague, Van M is an individual health care provider with primary practice located at 800 S Stratford Rd , Winston Salem NC 27103-3202. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Teague, Van M can be contacted via phone (336) 765-5788.

Contact Information

Primary practice address

800 S Stratford Rd Winston Salem NC 27103-3202

Phone: (336) 765-5788

Fax: (336) 765-5584

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Eye and Vision Services Providers / Optometrist	152W00000X	1141	North Carolina

Profile Details

NPI number	1336182823
LBN Legal business name	Teague, Van M
Credentials	Doctor of Optometry (OD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 13th, 2006
Last updated	Feb 15th, 2008 - 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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Identifiers

State	Type	Number	Issuer
All States	NPI	1336182823	NPPES
North Carolina	MEDICAID	8909891
North Carolina	Other	09891

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