Terry, Joseph M

Terry, Joseph M is an individual health care provider with primary practice located at 516 Delaware Street Se Eye Clinic, Minneapolis MN 55455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Terry, Joseph M can be contacted via phone (612) 884-0649.

Contact Information

Primary practice address
516 Delaware Street Se Eye Clinic Minneapolis MN 55455
Phone: (612) 884-0649
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 23661 Minnesota

Profile Details

NPI number 1114999307
LBN Legal business name Terry, Joseph M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Nov 1st, 2012 - about 12 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 1114999307 NPPES
Minnesota MEDICAID 229582200

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