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Contact Information

TERRY L SPOHR, PA-C
229 S. 7TH STREET
ST. MARIES, ID83861
 Phone: 208-245-2591
 Fax: 208-245-5246
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TERRY L SPOHR · (Male)

NPI Number 1992756233
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/12/2006
Last updated 11/10/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PA28
  • ID Medicaid 002790900
  • ID Other 1185830001 MEDICARE DMERC
  • ID Other 970003235 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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