Supan, Terry J

Supan, Terry J is an individual health care provider with primary practice located at 355 W Carpenter Street Suite B, Springfield IL 62702-4945. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Supan, Terry J can be contacted via phone (217) 789-1450.

Contact Information

Primary practice address
355 W Carpenter Street Suite B Springfield IL 62702-4945
Phone: (217) 789-1450
Fax: (217) 789-1454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X Illinois

Profile Details

NPI number 1366461410
LBN Legal business name Supan, Terry J
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 17 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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