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
Phone: (318) 336-4700
Fax: (318) 336-4700
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457868093 | NPPES |
Louisiana | MEDICAID | 640897031 |
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