Roode, Terry Dean

Roode, Terry Dean is an individual health care provider with primary practice located at 03920 Southland Rd. , New Bremen OH 45869-0127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roode, Terry Dean can be contacted via phone (419) 629-2772.

Contact Information

Primary practice address
03920 Southland Rd. New Bremen OH 45869-0127
Phone: (419) 629-2772
Fax: (419) 629-3613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-003323 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-00-3323 Ohio

Profile Details

NPI number 1093749913
LBN Legal business name Roode, Terry Dean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 28th, 2016 - about 8 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 1093749913 NPPES
Ohio Other H084151 PTAN
Ohio MEDICAID 0488600 PTAN
Ohio MEDICAID 0995811 PTAN
Ohio Other 1801976311 PTAN
Ohio Other 1417992710 PTAN

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