Baner, Terrill M

Baner, Terrill M is an sole proprietor health care provider with primary practice located at 600 John Deere Rd Suite 400, Moline IL 61265-6869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Baner, Terrill M can be contacted via phone (309) 779-4600.

Contact Information

Primary practice address
600 John Deere Rd Suite 400 Moline IL 61265-6869
Phone: (309) 779-4600
Fax: (309) 779-4605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036058643 Illinois

Profile Details

NPI number 1245201714
LBN Legal business name Baner, Terrill M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Jan 15th, 2014 - about 11 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 1245201714 NPPES
Illinois Other 08100333 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 1245201714 BLUE CROSS BLUE SHIELD
Illinois Other IL0101 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036058643 BLUE CROSS BLUE SHIELD

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