Rolan, Terry D

Rolan, Terry D is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Rolan, Terry D can be contacted via phone (541) 382-4900.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701-6099
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2004032538 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD212800 Oregon

Profile Details

NPI number 1063479103
LBN Legal business name Rolan, Terry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 5th, 2023 - about last year

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 1063479103 NPPES
Missouri Other P00415742 RAILROAD MEDICARE
Missouri MEDICAID 209425503 RAILROAD MEDICARE
Missouri MEDICAID 500812704 RAILROAD MEDICARE
Missouri Other P00223849 RAILROAD MEDICARE

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