Teckenbrock, Krista

Teckenbrock, Krista is an sole proprietor health care provider with primary practice located at 37 Douglas Dr , Herrin IL 62948-4232. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Teckenbrock, Krista can be contacted via phone (618) 988-6859.

Contact Information

Primary practice address
37 Douglas Dr Herrin IL 62948-4232
Phone: (618) 988-6859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1184013955
LBN Legal business name Teckenbrock, Krista
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2015
Last updated Jan 16th, 2015 - about 9 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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