Terry, Christopher Robert

Terry, Christopher Robert is an sole proprietor health care provider with primary practice located at 2446 Trident Way , Coranado CA 92155. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Terry, Christopher Robert can be contacted via phone (619) 537-2361.

Contact Information

Primary practice address
2446 Trident Way Coranado CA 92155
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1134350226
LBN Legal business name Terry, Christopher Robert
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2009
Last updated May 24th, 2013 - about 11 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 1134350226 NPPES
California Other 08983 CERTIFICATE OF GRADUATION, NAVAL SCHOOL OF HEALTH SCIENCES

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