Talley, Terry W

Talley, Terry W is an individual health care provider with primary practice located at 201 W Iowa St , Evansville IN 47710-1721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Talley, Terry W can be contacted via phone (812) 424-2020.

Contact Information

Primary practice address
201 W Iowa St Evansville IN 47710-1721
Phone: (812) 424-2020
Fax: (812) 424-3000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01020881 Indiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036085856 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 33096 Kentucky

Profile Details

NPI number 1144215856
LBN Legal business name Talley, Terry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Feb 19th, 2013 - about 12 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 1144215856 NPPES
Other 4005761 AETNA
Other 000000042322 AETNA
MEDICAID 100242690 AETNA
MEDICAID 64347057 AETNA
Other 116701 AETNA

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