Tervo, Raymond C

Tervo, Raymond C is an individual health care provider with primary practice located at 3900 Washington Ave Ste 100 , Evansville IN 47714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is his primary health care specialty. Tervo, Raymond C can be contacted via phone (812) 485-6694.

Contact Information

Primary practice address
3900 Washington Ave Ste 100 Evansville IN 47714
Phone: (812) 485-6694
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40431 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01077656A Indiana
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 01077656A Indiana

Profile Details

NPI number 1912088550
LBN Legal business name Tervo, Raymond C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 13th, 2018 - about 8 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 1912088550 NPPES
Minnesota MEDICAID 931227700

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