Terry, Peter John
Terry, Peter John is an individual health care provider with primary practice located at 11855 Ulysses St Ne , Blaine MN 55434-3947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Terry, Peter John can be contacted via phone (763) 785-4200.Contact Information
Primary practice address
11855 Ulysses St Ne
Blaine MN 55434-3947
Phone: (763) 785-4200
Fax: (763) 785-8419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 47287 | Minnesota |
Profile Details
| NPI number | 1659390490 |
|---|---|
| LBN Legal business name | Terry, Peter John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Aug 22nd, 2023 - about last year |
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 | 1659390490 | NPPES |
| Minnesota | Other | 556T0TE | BLUE CROSS BLUE SHIELD |
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