Individual
TERRY ETHER
Active
Individual
TERRY ETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0414L
BCBS
NC
05
—
7702039
—
NC
05
—
7704336
—
NC
05
—
7795214
—
NC
Enumeration date
01/08/2007
Last updated
01/29/2009
Update your record
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