Shortridge, Terry Wayne
Shortridge, Terry Wayne is an individual health care provider with primary practice located at 675 N 5Th St , Lebanon OR 97355-2875. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shortridge, Terry Wayne can be contacted via phone (541) 451-6282.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD16008 | Oregon |
Profile Details
| NPI number | 1922028711 |
|---|---|
| LBN Legal business name | Shortridge, Terry Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Nov 10th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922028711 | NPPES |
| Oregon | MEDICAID | 094276 |
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