Teeters, Autumn
Teeters, Autumn is an sole proprietor health care provider with primary practice located at 2281 Village Mall Dr Unit 2 , Ontario OH 44906-1153. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Teeters, Autumn can be contacted via phone (614) 884-3800.Contact Information
Primary practice address
2281 Village Mall Dr Unit 2
Ontario OH 44906-1153
Phone: (614) 884-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1104532696 |
|---|---|
| LBN Legal business name | Teeters, Autumn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2023 |
| Last updated | Jan 27th, 2023 - about last year |
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 | 1104532696 | NPPES |
| Ohio | MEDICAID | 2615030 |
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