Meriden, Terry
Meriden, Terry is an individual health care provider with primary practice located at 900 Main Street Suite 300, Peoria IL 61602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Meriden, Terry can be contacted via phone (309) 673-1717.Contact Information
Primary practice address
900 Main Street Suite 300
Peoria IL 61602
Phone: (309) 673-1717
Fax: (309) 673-7221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 0360586021 | Illinois |
Profile Details
| NPI number | 1467538231 |
|---|---|
| LBN Legal business name | Meriden, Terry |
| Credentials | MD FACP FACN FACE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Mar 13th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467538231 | NPPES |
| Illinois | MEDICAID | 036058602 | |
| Illinois | Other | 792111124 | |
| Illinois | Other | 9000138 |
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