King, Terry Dean

King, Terry Dean is an individual health care provider with primary practice located at 300 Pavilion Rd , West Monroe LA 71292-9470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. King, Terry Dean can be contacted via phone (318) 323-1100.

Contact Information

Primary practice address
300 Pavilion Rd West Monroe LA 71292-9470
Phone: (318) 323-1100
Fax: (318) 323-1161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD.02443R Louisiana

Profile Details

NPI number 1649249491
LBN Legal business name King, Terry Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Oct 6th, 2015 - about 11 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 1649249491 NPPES
Mississippi MEDICAID 00017835
Mississippi MEDICAID 1442399
Mississippi MEDICAID 1109487

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