Roy, Terry D

Roy, Terry D is an sole proprietor health care provider with primary practice located at 1340 Gulf Blvd Apt 15G, Clearwater FL 33767-2879. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Roy, Terry D can be contacted via phone (727) 434-0891.

Contact Information

Primary practice address
1340 Gulf Blvd Apt 15G Clearwater FL 33767-2879
Phone: (727) 434-0891
Fax: (727) 823-9502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP816782 Florida

Profile Details

NPI number 1063450864
LBN Legal business name Roy, Terry D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Nov 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063450864 NPPES
Florida Other P00467515 RAILROAD MEDICARE IDENTIFIER

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