Terry, Ben
Terry, Ben is an individual health care provider with primary practice located at 4400 E Flamingo Ave , Nampa ID 83687-9203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Terry, Ben can be contacted via phone (208) 288-4970.Contact Information
Primary practice address
4400 E Flamingo Ave
Nampa ID 83687-9203
Phone: (208) 288-4970
Fax: (208) 288-4990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-225 | Idaho |
Profile Details
| NPI number | 1003805037 |
|---|---|
| LBN Legal business name | Terry, Ben |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jul 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003805037 | NPPES |
| Idaho | Other | 000010027474 | BLUE CROSS |
| Idaho | Other | 08148209 | BLUE CROSS |
| Idaho | Other | S3101 | BLUE CROSS |
| Idaho | Other | 000010027473 | BLUE CROSS |
| Idaho | Other | S3119 | BLUE CROSS |
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