Vacheresse, Theresa Lynn

Vacheresse, Theresa Lynn is an individual health care provider with primary practice located at 2525 Tiller Ln Suite 105, Columbus OH 43231-2267. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Vacheresse, Theresa Lynn can be contacted via phone (614) 901-0000.

Contact Information

Primary practice address
2525 Tiller Ln Suite 105 Columbus OH 43231-2267
Phone: (614) 901-0000
Fax: (614) 901-4117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36003295 Ohio

Profile Details

NPI number 1982609582
LBN Legal business name Vacheresse, Theresa Lynn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Dec 29th, 2011 - about 14 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 1982609582 NPPES
Ohio MEDICAID 2305991

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