Teeple, Rex G

Teeple, Rex G is an individual health care provider with primary practice located at 1921 E. 53Rd Street , Anderson IN 46013-4029. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Teeple, Rex G can be contacted via phone (765) 649-2278.

Contact Information

Primary practice address
1921 E. 53Rd Street Anderson IN 46013-4029
Fax: (317) 259-8609
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001679B Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 18001679A Indiana

Profile Details

NPI number 1316006620
LBN Legal business name Teeple, Rex G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Sep 3rd, 2014 - about 11 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

StateTypeNumberIssuer
All States NPI 1316006620 NPPES
Indiana MEDICAID 20091414970
Indiana MEDICAID 200914970B

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