Teter, Martha

Teter, Martha is an individual health care provider with primary practice located at 359 Forest Ave Ste 203 , Dayton OH 45405-4559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Teter, Martha can be contacted via phone (937) 226-7414.

Contact Information

Primary practice address
359 Forest Ave Ste 203 Dayton OH 45405-4559
Phone: (937) 226-7414
Fax: (937) 226-1682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-02174 Ohio

Profile Details

NPI number 1780724666
LBN Legal business name Teter, Martha
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated May 21st, 2012 - about 12 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 1780724666 NPPES
Ohio MEDICAID 2103799

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