Rager, Terrence Michael
Rager, Terrence Michael is an individual health care provider with primary practice located at Portneuf Medical Center 777 Hospital Way, South Mob, Suite 201, Pocatello ID 83201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rager, Terrence Michael can be contacted via phone (208) 239-2620.Contact Information
Primary practice address
Portneuf Medical Center 777 Hospital Way, South Mob, Suite 201
Pocatello ID 83201
Phone: (208) 239-2620
Fax: (208) 239-3778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M-13764 | Idaho |
Profile Details
| NPI number | 1063730679 |
|---|---|
| LBN Legal business name | Rager, Terrence Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2010 |
| Last updated | Jun 11th, 2019 - about 7 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 | 1063730679 | NPPES |
| Idaho | MEDICAID | 808437000 |
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