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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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