Smith, Terry Lee

Smith, Terry Lee is an sole proprietor health care provider with primary practice located at 1 Trillium Way , Corbin KY 40701-8727. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Smith, Terry Lee can be contacted via phone (606) 528-1212.

Contact Information

Primary practice address
1 Trillium Way Corbin KY 40701-8727
Phone: (606) 528-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X SA111 Kentucky

Profile Details

NPI number 1629052204
LBN Legal business name Smith, Terry Lee
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Sep 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629052204 NPPES
Kentucky Other SA111 CERTIFIED SURGICAL ASSISTANT LICENSE

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