Panvica, Terence

Panvica, Terence is an individual health care provider with primary practice located at 913 E 26Th St 600, Minneapolis MN 55404-4515. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Panvica, Terence can be contacted via phone (612) 775-6200.

Contact Information

Primary practice address
913 E 26Th St 600 Minneapolis MN 55404-4515
Phone: (612) 775-6200
Fax: (612) 775-6222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9325 Minnesota

Profile Details

NPI number 1194761726
LBN Legal business name Panvica, Terence
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Nov 10th, 2020 - about 6 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 1194761726 NPPES
Minnesota MEDICAID 157893600

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