Rager, Terrence Michael

Rager, Terrence Michael is an individual health care provider with primary practice located at Portneuf Medical Center 777 Hospital Way, South Mob, Suite 201, Pocatello ID 83201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rager, Terrence Michael can be contacted via phone (208) 239-2620.

Contact Information

Primary practice address
Portneuf Medical Center 777 Hospital Way, South Mob, Suite 201 Pocatello ID 83201
Phone: (208) 239-2620
Fax: (208) 239-3778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M-13764 Idaho

Profile Details

NPI number 1063730679
LBN Legal business name Rager, Terrence Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2010
Last updated Jun 11th, 2019 - about 5 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 1063730679 NPPES
Idaho MEDICAID 808437000

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