Reside, Terry L

Reside, Terry L is an individual health care provider with primary practice located at 1604 Visa Dr , Normal IL 61761-2195. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Reside, Terry L can be contacted via phone (309) 846-4716.

Contact Information

Primary practice address
1604 Visa Dr Normal IL 61761-2195
Phone: (309) 846-4716
Fax: (309) 454-1107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 238000219 Illinois

Profile Details

NPI number 1235468729
LBN Legal business name Reside, Terry L
Credentials CST, SA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2009
Last updated Dec 14th, 2009 - about 15 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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