Terkeurst, John S
Terkeurst, John S is an sole proprietor health care provider with primary practice located at 124 Highway 201 N , Mountain Home AR 72653-3158. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Terkeurst, John S can be contacted via phone (870) 424-3699.Contact Information
Primary practice address
124 Highway 201 N
Mountain Home AR 72653-3158
Phone: (870) 424-3699
Fax: (870) 424-3707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C6476 | Arkansas |
Profile Details
| NPI number | 1760485833 |
|---|---|
| LBN Legal business name | Terkeurst, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1760485833 | NPPES |
| Arkansas | Other | 01557 | HEALTH SOURCE |
| Arkansas | Other | 0479320001 | HEALTH SOURCE |
| Arkansas | MEDICAID | 117148002 | HEALTH SOURCE |
| Arkansas | Other | 340002978 | HEALTH SOURCE |
| Arkansas | Other | 710687928 | HEALTH SOURCE |
| Arkansas | Other | 04D0703845 | HEALTH SOURCE |
| Arkansas | Other | 16020000000 | HEALTH SOURCE |
| Arkansas | Other | C6476 | HEALTH SOURCE |
| Arkansas | MEDICAID | 115716001 | HEALTH SOURCE |
| Arkansas | Other | 642613 | HEALTH SOURCE |
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