Terry, David A
Terry, David A is an sole proprietor health care provider with primary practice located at 6120 W Bell Rd Suite 100, Glendale AZ 85308-3781. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Terry, David A can be contacted via phone (623) 512-4326.Contact Information
Primary practice address
6120 W Bell Rd Suite 100
Glendale AZ 85308-3781
Phone: (623) 512-4326
Fax: (623) 584-6732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 005223 | Arizona |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 005223 | Arizona |
Profile Details
| NPI number | 1801916630 |
|---|---|
| LBN Legal business name | Terry, David A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Sep 4th, 2014 - about 10 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 | 1801916630 | NPPES |
| Arizona | MEDICAID | 429140 |
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