Diebold, Terrence Christopher

Diebold, Terrence Christopher is an individual health care provider with primary practice located at 3120 Prestwick Cir , Jonesboro AR 72401-8039. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Diebold, Terrence Christopher can be contacted via phone (870) 972-0281.

Contact Information

Primary practice address
3120 Prestwick Cir Jonesboro AR 72401-8039
Phone: (870) 972-0281
Fax: (870) 972-8694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Arkansas

Profile Details

NPI number 1174569602
LBN Legal business name Diebold, Terrence Christopher
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1174569602 NPPES
Arkansas Other 5W687 BCBS

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