Wiederhold, Theresa
Wiederhold, Theresa is an sole proprietor health care provider with primary practice located at 5921 N Market St , Spokane WA 99208-2484. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wiederhold, Theresa can be contacted via phone (509) 487-1604.Contact Information
Primary practice address
5921 N Market St
Spokane WA 99208-2484
Phone: (509) 487-1604
Fax: (509) 482-6286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30006019 | Washington |
Profile Details
| NPI number | 1255325460 |
|---|---|
| LBN Legal business name | Wiederhold, Theresa |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Jan 11th, 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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