Terbush, Kevin P

Terbush, Kevin P is an sole proprietor health care provider with primary practice located at 528 Randall Rd , Ballston Spa NY 12020-3311. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Terbush, Kevin P can be contacted via phone (401) 297-7404.

Contact Information

Primary practice address
528 Randall Rd Ballston Spa NY 12020-3311
Phone: (401) 297-7404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 024636 New York

Profile Details

NPI number 1518519396
LBN Legal business name Terbush, Kevin P
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2019
Last updated Jul 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518519396 NPPES
New York Other 024636 NEW YORK STATE LICENSE

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