Barbara Ann Teal
Individual provider Active NPI Other Technician · Kingston, MI
NPI 1356792147 · NPPES record last updated Jun 23, 2016
Key facts
- NPI
- 1356792147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 3406 Washington St
Kingston, MI 48741-5109 - Phone
- (989) 683-2935
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
3406 Washington St
Kingston, MI 48741-5109
Mailing address
3406 Washington St
Kingston, MI 48741-5109
Phone (989) 683-2935
Other providers in Kingston, MI
- Melanie Kramer-Harrington
- Brian McHugh
- Madisyn Elizabeth Anne Pennington
- Ashlee Nadara Pierce
- Virginia Sova
All providers in Kingston, MI · Other Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.