Terrell, John A
Terrell, John A is an individual health care provider with primary practice located at 1024 North Main Street , Rice Lake WI 54868-0028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Terrell, John A can be contacted via phone (715) 234-8151.Contact Information
Primary practice address
1024 North Main Street
Rice Lake WI 54868-0028
Phone: (715) 234-8151
Fax: (715) 234-9750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 33362 | Wisconsin |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 46297 | Minnesota |
Profile Details
| NPI number | 1962560318 |
|---|---|
| LBN Legal business name | Terrell, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1962560318 | NPPES |
| Wisconsin | MEDICAID | 32239500 | |
| Wisconsin | MEDICAID | 890814100 |
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