Mr. Terry J Supan
Podiatrist Prosthetist
355 W Carpenter Street Suite B
Springfield
, Illinois 62702-4945
Mr. Terry J Supan
Podiatrist Prosthetist
355 W Carpenter Street Suite B
Springfield
, Illinois 62702-4945
(217) 789-1454
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Terry J Supan
- 355 W Carpenter Street Suite B
- Springfield, IL
- Zip : 62702-4945
- Fax : (217) 789-1454
- Phone : (217) 789-1450
Second Address
- Mr. Terry J Supan
- 355 W Carpenter Street Suite B
- Springfield, IL
- Zip : 62702-4945
- Fax : (217) 789-1454
- Phone : (217) 789-1450
Reviews
FAQs
Where did Mr. Terry J Supan attend graduate school?
Where did Mr. Terry J Supan do his residency?
Where did Mr. Terry J Supan do his fellowship?
Is Mr. Terry J Supan board certified?
In what state does Mr. Terry J Supan practice in?
Where is Mr. Terry J Supan ’s practice located?
What is Mr. Terry J Supan ’s gender?
Is Mr. Terry J Supan a sole practitioner?
Is Mr. Terry J Supan accepting new patients?
What languages does Mr. Terry J Supan speak?
Does Mr. Terry J Supan accept insurance?
Does Mr. Terry J Supan offers telemedicine?
What is Mr. Terry J Supan ’s professional license number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | IL | |
| N | 222Z00000X | Podiatrist | IL | |
| N | 224P00000X | Prosthetist | IL |
National Provider Identifier
| NPI | 1366461410 |
|---|---|
| Provider Name | Mr. Terry J Supan |
| First Address | Springfield, IL 62702-4945 |
| Second Address | Springfield, IL 62702-4945 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.