Teigland, Garry Dennis
Teigland, Garry Dennis is an individual health care provider with primary practice located at 210 Avenue C , Danville IL 61832-5410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Teigland, Garry Dennis can be contacted via phone (217) 442-3200.Contact Information
Primary practice address
210 Avenue C
Danville IL 61832-5410
Phone: (217) 442-3200
Fax: (217) 442-7460
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036087954 | Illinois |
Profile Details
NPI number | 1942320064 |
---|---|
LBN Legal business name | Teigland, Garry Dennis |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2007 |
Last updated | Dec 5th, 2011 - about 13 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 | 1942320064 | NPPES |
Illinois | MEDICAID | 036087954 |
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