Johnson, Terrie M
Johnson, Terrie M is an individual health care provider with primary practice located at 2939 N Military Trl , West Palm Beach FL 33409-2916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Terrie M can be contacted via phone (561) 863-5757.Contact Information
Primary practice address
2939 N Military Trl
West Palm Beach FL 33409-2916
Phone: (561) 863-5757
Fax: (561) 863-6627
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME87569 | Florida |
Profile Details
NPI number | 1790774255 |
---|---|
LBN Legal business name | Johnson, Terrie M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2005 |
Last updated | Apr 23rd, 2014 - about 10 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 | 1790774255 | NPPES |
Other | 291325 | AVMED | |
Other | 5720771 | AVMED | |
MEDICAID | 268732100 | AVMED | |
Other | 82186 | AVMED |
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