Tatarchuk, Terrence Wayne
Tatarchuk, Terrence Wayne is an sole proprietor health care provider with primary practice located at 8795 Pine Ridge Dr Suite B, Cadillac MI 49601-9777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tatarchuk, Terrence Wayne can be contacted via phone (231) 775-1306.Contact Information
Primary practice address
8795 Pine Ridge Dr Suite B
Cadillac MI 49601-9777
Phone: (231) 775-1306
Fax: (231) 775-9701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301039879 | Michigan |
Profile Details
| NPI number | 1073583316 |
|---|---|
| LBN Legal business name | Tatarchuk, Terrence Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Feb 23rd, 2010 - about 15 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 | 1073583316 | NPPES |
| Michigan | Other | 01279 | PRIORITY HEALTH |
| Michigan | MEDICAID | 209380410 | PRIORITY HEALTH |
| Michigan | Other | 103633 | PRIORITY HEALTH |
| Michigan | Other | P26654F | PRIORITY HEALTH |
| Michigan | Other | 0208309261 | PRIORITY HEALTH |
| Michigan | Other | M009095 | PRIORITY HEALTH |
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