Teichner, Albert Gordon

Teichner, Albert Gordon is an sole proprietor health care provider with primary practice located at 222 W Coleman Blvd , Mount Pleasant SC 29464-3588. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Teichner, Albert Gordon can be contacted via phone (843) 849-9913.

Contact Information

Primary practice address
222 W Coleman Blvd Mount Pleasant SC 29464-3588
Fax: (843) 881-6876
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 800 South Carolina

Profile Details

NPI number 1336106509
LBN Legal business name Teichner, Albert Gordon
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2006
Last updated Apr 5th, 2013 - 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 1336106509 NPPES
South Carolina MEDICAID PSO324

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