Terry, Deborah
Terry, Deborah is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Terry, Deborah can be contacted via phone (614) 722-4554.Contact Information
Primary practice address
700 Childrens Dr
Columbus OH 43205-2664
Phone: (614) 722-4554
Fax: (614) 722-4565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN169332NP03896 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | COA03896 | Ohio |
Profile Details
| NPI number | 1902894439 |
|---|---|
| LBN Legal business name | Terry, Deborah |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Feb 4th, 2016 - about 10 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 | 1902894439 | NPPES |
| Kentucky | Other | 78012812 | MEDICAID |
| Kentucky | MEDICAID | 2231169 | MEDICAID |
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