Bond, Terrell Morgan

Bond, Terrell Morgan is an individual health care provider with primary practice located at 1717 S Calhoun St , Fort Wayne IN 46802-5257. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bond, Terrell Morgan can be contacted via phone (260) 458-2641.

Contact Information

Primary practice address
1717 S Calhoun St Fort Wayne IN 46802-5257
Phone: (260) 458-2641
Fax: (260) 458-2574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01042638A Indiana

Profile Details

NPI number 1336177583
LBN Legal business name Bond, Terrell Morgan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 25th, 2008 - about 17 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 1336177583 NPPES
Indiana MEDICAID 100380680A
Indiana Other 070860SS

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