Terry, John D

Terry, John D is an sole proprietor health care provider with primary practice located at 1600 Diamond St , Onawa IA 51040-1548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Terry, John D can be contacted via phone (712) 423-2311.

Contact Information

Primary practice address
1600 Diamond St Onawa IA 51040-1548
Phone: (712) 423-2311
Fax: (712) 423-9362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 22564 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15071 Nebraska

Profile Details

NPI number 1508949157
LBN Legal business name Terry, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Aug 15th, 2007 - about 19 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 1508949157 NPPES
Iowa MEDICAID 7914150

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