Roode, Terry Dean
Roode, Terry Dean is an individual health care provider with primary practice located at 03920 Southland Rd. , New Bremen OH 45869-0127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roode, Terry Dean can be contacted via phone (419) 629-2772.Contact Information
Primary practice address
03920 Southland Rd.
New Bremen OH 45869-0127
Phone: (419) 629-2772
Fax: (419) 629-3613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-003323 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34-00-3323 | Ohio |
Profile Details
| NPI number | 1093749913 |
|---|---|
| LBN Legal business name | Roode, Terry Dean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Oct 28th, 2016 - about 10 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 | 1093749913 | NPPES |
| Ohio | Other | H084151 | PTAN |
| Ohio | MEDICAID | 0488600 | PTAN |
| Ohio | MEDICAID | 0995811 | PTAN |
| Ohio | Other | 1801976311 | PTAN |
| Ohio | Other | 1417992710 | PTAN |
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