Terpstra, Douglas William

Terpstra, Douglas William is an individual health care provider with primary practice located at 2125 Heights Dr Ste 1F , Eau Claire WI 54701-6146. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Terpstra, Douglas William can be contacted via phone (715) 835-2101.

Contact Information

Primary practice address
2125 Heights Dr Ste 1F Eau Claire WI 54701-6146
Phone: (715) 835-2101
Fax: (715) 835-1627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 5002236 Wisconsin

Profile Details

NPI number 1225155625
LBN Legal business name Terpstra, Douglas William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225155625 NPPES
Wisconsin MEDICAID 33390200

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