Pietryga, Terry E

Pietryga, Terry E is an individual health care provider with primary practice located at 2213 Cherry St , Toledo OH 43608-2603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pietryga, Terry E can be contacted via phone (419) 251-3232.

Contact Information

Primary practice address
2213 Cherry St Toledo OH 43608-2603
Phone: (419) 251-3232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35.085668 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 435570 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301072096 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01060109A Indiana

Profile Details

NPI number 1972571099
LBN Legal business name Pietryga, Terry E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 9th, 2013 - about 11 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 1972571099 NPPES
Michigan MEDICAID 4692907
Michigan Other P00191476
Michigan Other 000000354582
Michigan MEDICAID 2535411
Michigan MEDICAID 4692916
Michigan MEDICAID 4692961
Michigan MEDICAID 4692952

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