Daniel, Terry E

Daniel, Terry E is an individual health care provider with primary practice located at 295 High St , Berea OH 44017-1833. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Daniel, Terry E can be contacted via phone (440) 234-3800.

Contact Information

Primary practice address
295 High St Berea OH 44017-1833
Fax: (440) 234-2318
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2940/T399 Ohio

Profile Details

NPI number 1609815844
LBN Legal business name Daniel, Terry E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Aug 14th, 2013 - 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 1609815844 NPPES
Ohio Other 11313346 CAQH
Ohio Other 02855-00002 CAQH

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