Terrell, Freddie L

Terrell, Freddie L is an individual health care provider with primary practice located at 1114 Mccann Dr , Winchester KY 40391-1157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Terrell, Freddie L can be contacted via phone (859) 737-4411.

Contact Information

Primary practice address
1114 Mccann Dr Winchester KY 40391-1157
Fax: (859) 737-2123
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 29797 Kentucky

Profile Details

NPI number 1548268279
LBN Legal business name Terrell, Freddie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 28th, 2013 - about 11 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 1548268279 NPPES
Kentucky MEDICAID 64297971

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