Nickerson, Terry Paul
Nickerson, Terry Paul is an individual health care provider with primary practice located at 3 Riverside Cir , Roanoke VA 24016-4955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Nickerson, Terry Paul can be contacted via phone (540) 526-1251.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 0101267266 | Virginia |
Profile Details
| NPI number | 1063733350 |
|---|---|
| LBN Legal business name | Nickerson, Terry Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2010 |
| Last updated | Aug 10th, 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 | 1063733350 | NPPES |
| Texas | MEDICAID | 362964401 |
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