Smith, Terry Glynn

Smith, Terry Glynn is an sole proprietor health care provider with primary practice located at 1109 Carter St Ste 10 , Vidalia LA 71373-3227. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Smith, Terry Glynn can be contacted via phone (318) 336-4700.

Contact Information

Primary practice address
1109 Carter St Ste 10 Vidalia LA 71373-3227
Fax: (318) 336-4700
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1457868093
LBN Legal business name Smith, Terry Glynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2018
Last updated May 7th, 2019 - about 5 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 1457868093 NPPES
Louisiana MEDICAID 640897031

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