Ether, Terry
Ether, Terry is an individual health care provider with primary practice located at 3224 Lake Woodard Dr Suite 100, Raleigh NC 27604-3659. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Ether, Terry can be contacted via phone (919) 231-6890.Contact Information
Primary practice address
3224 Lake Woodard Dr Suite 100
Raleigh NC 27604-3659
Phone: (919) 231-6890
Fax: (919) 231-3490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X |
Profile Details
| NPI number | 1316095177 |
|---|---|
| LBN Legal business name | Ether, Terry |
| Credentials | C.P.O. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jan 29th, 2009 - about 16 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 | 1316095177 | NPPES |
| North Carolina | MEDICAID | 7795214 | |
| North Carolina | MEDICAID | 7702039 | |
| North Carolina | MEDICAID | 7704336 | |
| North Carolina | Other | 0414L |
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