Terwilliger, Jerry Wayne

Terwilliger, Jerry Wayne is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Terwilliger, Jerry Wayne can be contacted via phone (570) 887-3070.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 887-3070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 144861-1 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD028322E Pennsylvania

Profile Details

NPI number 1598730376
LBN Legal business name Terwilliger, Jerry Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Apr 30th, 2021 - about 3 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 1598730376 NPPES
Pennsylvania Other 370017190 RR MEDICARE PIN
Pennsylvania MEDICAID 0009221410001 RR MEDICARE PIN
Pennsylvania MEDICAID 00702667 RR MEDICARE PIN
Pennsylvania MEDICAID 1598730376 RR MEDICARE PIN
Pennsylvania Other CC9269 RR MEDICARE PIN
Pennsylvania Other GU039851 RR MEDICARE PIN

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