1710226097 NPI number — MRS. TERESA LYNN POWERS D.T.

Table of content: MRS. TERESA LYNN POWERS D.T. (NPI 1710226097)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710226097 NPI number — MRS. TERESA LYNN POWERS D.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POWERS
Provider First Name:
TERESA
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
D.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCOTT
Provider Other First Name:
TERESA
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1710226097
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
210 SHANNON LAKE CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANNA
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
62906-0015
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
618-444-3915
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 SHANNON LAKE CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANNA
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62906-0015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-444-3915
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 252Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)