Provider Demographics
NPI:1902669153
Name:TEEVAN, JOHN ORIN
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ORIN
Last Name:TEEVAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2338 FOX WOOD DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-9115
Mailing Address - Country:US
Mailing Address - Phone:614-572-8599
Mailing Address - Fax:
Practice Address - Street 1:830 KING RIDGE DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-3667
Practice Address - Country:US
Practice Address - Phone:614-572-8599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No172A00000XOther Service ProvidersDriver