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Individual
DR. ERIC DOUGLAS TERRELL
Active
Individual
DR. ERIC DOUGLAS TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000794
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220381
ANTHEM
VA
01
—
4227400
AETNA
VA
01
—
440125
UNITED HEALTHCARE
VA
01
—
54-1829779
TAX ID
VA
01
—
FO55OOO1
CAREFIRST
VA
01
—
S5767
INOVATION HEALTH
VA
Enumeration date
01/12/2007
Last updated
11/03/2011
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