Dezeeuw, Terry L
Dezeeuw, Terry L is an sole proprietor health care provider with primary practice located at Colorado State University Mcgraw Athletic Center, Fort Collins CO 80523-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Dezeeuw, Terry L can be contacted via phone (970) 491-6756.Contact Information
Primary practice address
Colorado State University Mcgraw Athletic Center
Fort Collins CO 80523-0001
Phone: (970) 491-6756
Fax: (970) 491-6167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 36000536A | Indiana |
Profile Details
| NPI number | 1437176120 |
|---|---|
| LBN Legal business name | Dezeeuw, Terry L |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437176120 | NPPES |
| Indiana | Other | 36000536A | STATE LICENSE |
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