Terwilleger, John Edward
Terwilleger, John Edward is an individual health care provider with primary practice located at 1565 Saxon Blvd Ste 202 , Deltona FL 32725-5836. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Terwilleger, John Edward can be contacted via phone (386) 851-0644.Contact Information
Primary practice address
1565 Saxon Blvd Ste 202
Deltona FL 32725-5836
Phone: (386) 851-0644
Fax: (386) 851-0664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME0045959 | Florida |
Profile Details
| NPI number | 1164468351 |
|---|---|
| LBN Legal business name | Terwilleger, John Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jun 28th, 2021 - about 5 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 | 1164468351 | NPPES |
| Florida | MEDICAID | 044243700 |
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