Teddy, Sherrie D
Teddy, Sherrie D is an sole proprietor health care provider with primary practice located at 2740 Seven Springs Blvd , New Port Richey FL 34655-3623. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Teddy, Sherrie D can be contacted via phone (727) 372-0414.Contact Information
Primary practice address
2740 Seven Springs Blvd
New Port Richey FL 34655-3623
Phone: (727) 372-0414
Fax: (727) 372-9313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1797 | Florida |
Profile Details
| NPI number | 1720073984 |
|---|---|
| LBN Legal business name | Teddy, Sherrie D |
| Credentials | ODPA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Oct 7th, 2011 - about 14 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 | 1720073984 | NPPES |
| Florida | Other | OPC1797 | FL LICENSE |
| Florida | Other | 19293Z | FL LICENSE |
| Florida | Other | 410031537 | FL LICENSE |
| Florida | Other | 117635 | FL LICENSE |
| Florida | Other | 19293 | FL LICENSE |
| Florida | Other | 0482470001 | FL LICENSE |
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