Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | RK689133 | OH |
Y | 207X00000X | Orthopaedic Surgeon | RK689133 | OH |
NPI | 1578811360 |
---|---|
Provider Name | Mr. Terrance A Menefee JR. |
First Address | Richmond Heights, OH 44143-3016 |
Second Address | Richmond Heights, OH 44143-3016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2012 |
Last Update Date | 27/08/2012 |