Terrence, Kathleen M
Terrence, Kathleen M is an sole proprietor health care provider with primary practice located at 80 East Main Street , Canton NY 13617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Terrence, Kathleen M can be contacted via phone (315) 261-7180.Contact Information
Primary practice address
80 East Main Street
Canton NY 13617
Phone: (315) 261-7180
Fax: (315) 261-6330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 216697 | New York |
Profile Details
| NPI number | 1902845621 |
|---|---|
| LBN Legal business name | Terrence, Kathleen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Mar 5th, 2008 - about 16 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 | 1902845621 | NPPES |
| New York | MEDICAID | 02107940 | |
| New York | Other | 366605 |
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