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
Fax: (217) 442-7460
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942320064 NPPES
Illinois MEDICAID 036087954

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