Werner, Terry S

Werner, Terry S is an individual health care provider with primary practice located at 167 North Main Street , Tuba City AZ 86045-0600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Werner, Terry S can be contacted via phone (928) 283-2501.

Contact Information

Primary practice address
167 North Main Street Tuba City AZ 86045-0600
Phone: (928) 283-2501
Fax: (928) 283-2677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A67230 California
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35095568 Ohio
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 44503 Arizona

Profile Details

NPI number 1578545208
LBN Legal business name Werner, Terry S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jun 21st, 2011 - about 15 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 1578545208 NPPES
California MEDICAID 00A672300
California MEDICAID 3810018267

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