Terry, Deborah C
Terry, Deborah C is an sole proprietor health care provider with primary practice located at 146 Farmington Ave , Bristol CT 06010-4218. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Internist, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is her primary health care specialty. Terry, Deborah C can be contacted via phone (860) 560-3285.Contact Information
Primary practice address
146 Farmington Ave
Bristol CT 06010-4218
Phone: (860) 560-3285
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 001392 | Connecticut |
| Chiropractic Providers / Chiropractor | 111N00000X | 001392 | Connecticut |
Profile Details
| NPI number | 1265978506 |
|---|---|
| LBN Legal business name | Terry, Deborah C |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2017 |
| Last updated | Jun 6th, 2019 - about 5 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 | 1265978506 | NPPES |
| Connecticut | MEDICAID | 004221389 |
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