Joliet, Terri L

Joliet, Terri L is an individual health care provider with primary practice located at 1701 Spring St Suite A, Jeffersonville IN 47130-2930. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Joliet, Terri L can be contacted via phone (812) 282-1367.

Contact Information

Primary practice address
1701 Spring St Suite A Jeffersonville IN 47130-2930
Fax: (812) 284-8377
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1044227 Indiana

Profile Details

NPI number 1225148406
LBN Legal business name Joliet, Terri L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 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 1225148406 NPPES
Indiana MEDICAID 200043000

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