Stelly, Terry Chris
Stelly, Terry Chris is an individual health care provider with primary practice located at Our Lady Of The Lake Physician Group Cardiothoracic Sur 7777 Hennessy Boulevard Suite 8001, Baton Rouge LA 70808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Stelly, Terry Chris can be contacted via phone (225) 490-7224.Contact Information
Primary practice address
Our Lady Of The Lake Physician Group Cardiothoracic Sur 7777 Hennessy Boulevard Suite 8001
Baton Rouge LA 70808
Phone: (225) 490-7224
Fax: (225) 490-7223
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 320795 | Louisiana |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 00015345 | Alabama |
Profile Details
NPI number | 1356349195 |
---|---|
LBN Legal business name | Stelly, Terry Chris |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2005 |
Last updated | Apr 27th, 2021 - about 3 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 | 1356349195 | NPPES |
Alabama | Other | 510-26638 | BLUE CROSS BLUE SHIELD |
Alabama | MEDICAID | 000026638 | BLUE CROSS BLUE SHIELD |
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