Terrill, Robert Q

Terrill, Robert Q is an individual health care provider with primary practice located at 123 Summer St Ste 685, Worcester MA 01608-1200. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Terrill, Robert Q can be contacted via phone (508) 363-6446.

Contact Information

Primary practice address
123 Summer St Ste 685 Worcester MA 01608-1200
Fax: (508) 363-7117
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 72507 Massachusetts

Profile Details

NPI number 1316942741
LBN Legal business name Terrill, Robert Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated May 5th, 2008 - about 18 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 1316942741 NPPES
Massachusetts MEDICAID 9730320

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