Shoulders, Terry Dwayne

Shoulders, Terry Dwayne is an individual health care provider with primary practice located at 3402 Tarawa Rd. Special Boat Team Twelve Medical Department, San Diego CA 92155-5003. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Shoulders, Terry Dwayne can be contacted via phone (619) 437-5540.

Contact Information

Primary practice address
3402 Tarawa Rd. Special Boat Team Twelve Medical Department San Diego CA 92155-5003
Phone: (619) 437-5540
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1891949616
LBN Legal business name Shoulders, Terry Dwayne
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2008
Last updated Nov 6th, 2008 - about 16 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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