Kober, Terry Daniel

Kober, Terry Daniel is an individual health care provider with primary practice located at 11260 Sullivan St , Riverview FL 33578-2140. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kober, Terry Daniel can be contacted via phone (813) 689-7571.

Contact Information

Primary practice address
11260 Sullivan St Riverview FL 33578-2140
Phone: (813) 689-7571
Fax: (813) 654-8129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1440 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105264 Florida

Profile Details

NPI number 1720335904
LBN Legal business name Kober, Terry Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2012
Last updated Sep 15th, 2021 - about 4 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 1720335904 NPPES
Kentucky Other K099660 MEDICARE PTAN
Kentucky Other PA9105264 MEDICARE PTAN
Kentucky MEDICAID 013091300 MEDICARE PTAN
Kentucky Other 1440 MEDICARE PTAN

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