Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 07000612A | IN |
NPI | 1659379543 |
---|---|
Provider Name | Terence A Alvey |
First Address | Evansville, IN 47715-8198 |
Second Address | Evansville, IN 47715-8198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000278639 | ANTHEM (01) | |
179622 | HEALTHLINK (01) | |
T87296 | (02) |