Terrell, Eartha A
Terrell, Eartha A is an individual health care provider with primary practice located at 209 W Woodland Ave , Youngstown OH 44502-1866. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community, which is considered as her primary health care specialty. Terrell, Eartha A can be contacted via phone (330) 787-9180.Contact Information
Primary practice address
209 W Woodland Ave
Youngstown OH 44502-1866
Phone: (330) 787-9180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community | 364SP0812X | 364SP0812X | Ohio |
Profile Details
| NPI number | 1730743840 |
|---|---|
| LBN Legal business name | Terrell, Eartha A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2019 |
| Last updated | Apr 24th, 2019 - about 5 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 | 1730743840 | NPPES |
| Ohio | MEDICAID | 0202708 |
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