Terrell, Thomas J

Terrell, Thomas J is an individual health care provider with primary practice located at 1333 Southview Dr , Bluefield WV 24701-4317. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Terrell, Thomas J can be contacted via phone (304) 327-2900.

Contact Information

Primary practice address
1333 Southview Dr Bluefield WV 24701-4317
Phone: (304) 327-2900
Fax: (304) 327-2989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 27873 West Virginia

Profile Details

NPI number 1063506152
LBN Legal business name Terrell, Thomas J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 12th, 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 1063506152 NPPES
West Virginia MEDICAID 0066055000

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