Terry, Philip Jon
Terry, Philip Jon is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Terry, Philip Jon can be contacted via phone (479) 443-4301.Contact Information
Primary practice address
1100 N College Ave
Fayetteville AR 72703-1944
Phone: (479) 443-4301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E-8316 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-8316 | Arkansas |
Profile Details
| NPI number | 1225391428 |
|---|---|
| LBN Legal business name | Terry, Philip Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2012 |
| Last updated | Apr 10th, 2026 - about 7 months 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 | 1225391428 | NPPES |
| Arkansas | MEDICAID | 192636795 |
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