South, Terry A
South, Terry A is an individual health care provider with primary practice located at 3844 1St Ave , Evansville IN 47710-3326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. South, Terry A can be contacted via phone (812) 428-6161.Contact Information
Primary practice address
3844 1St Ave
Evansville IN 47710-3326
Phone: (812) 428-6161
Fax: (812) 421-2883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01022401A | Indiana |
Profile Details
| NPI number | 1801865472 |
|---|---|
| LBN Legal business name | South, Terry A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Mar 9th, 2011 - about 14 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 | 1801865472 | NPPES |
| Indiana | MEDICAID | 200025050 |
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