Pannkuk, Terrell Fred
Pannkuk, Terrell Fred is an individual health care provider with primary practice located at 9 East Pedregosa Street Suite B, Santa Barbara CA 93101. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Pannkuk, Terrell Fred can be contacted via phone (805) 682-0055.Contact Information
Primary practice address
9 East Pedregosa Street Suite B
Santa Barbara CA 93101
Phone: (805) 682-0055
Fax: (805) 682-6451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 32445 | California |
Profile Details
| NPI number | 1093925323 |
|---|---|
| LBN Legal business name | Pannkuk, Terrell Fred |
| Credentials | D.D.S., M.SC.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Sep 14th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093925323 | NPPES |
| California | MEDICAID | U4632 |
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