Fondessy, Terrence Merle
Fondessy, Terrence Merle is an individual health care provider with primary practice located at 838 E Wooster St , Bowling Green OH 43402-3186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fondessy, Terrence Merle can be contacted via phone (419) 372-2271.Contact Information
Primary practice address
838 E Wooster St
Bowling Green OH 43402-3186
Phone: (419) 372-2271
Fax: (419) 354-3222
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-050793 | Ohio |
Profile Details
NPI number | 1528113412 |
---|---|
LBN Legal business name | Fondessy, Terrence Merle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 24th, 2007 |
Last updated | Jun 15th, 2022 - about 2 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 | 1528113412 | NPPES |
Ohio | MEDICAID | 0616962 |
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