Terry, David John

Terry, David John is an individual health care provider with primary practice located at 10243 Genetic Center Dr , San Diego CA 92121-6310. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Terry, David John can be contacted via phone (858) 526-6147.

Contact Information

Primary practice address
10243 Genetic Center Dr San Diego CA 92121-6310
Phone: (858) 526-6147
Fax: (858) 526-6020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2273 California

Profile Details

NPI number 1235240847
LBN Legal business name Terry, David John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 27th, 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 1235240847 NPPES
California MEDICAID 00E22730

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