Terrell, David Andrew
Terrell, David Andrew is an individual health care provider with primary practice located at 238 Western Ave , Brattleboro VT 05301-6246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Terrell, David Andrew can be contacted via phone (802) 257-5111.Contact Information
Primary practice address
238 Western Ave
Brattleboro VT 05301-6246
Phone: (802) 257-5111
Fax: (802) 254-0178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 274689 | Massachusetts |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 042.0014963-COVID | Vermont |
Profile Details
| NPI number | 1851702195 |
|---|---|
| LBN Legal business name | Terrell, David Andrew |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2014 |
| Last updated | Sep 4th, 2020 - about 6 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 | 1851702195 | NPPES |
| Massachusetts | MEDICAID | 110138155A |
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