Individual
ANNETTE K TEREBUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1107 RUSH AVE, BELLEFONTAINE, OH 43311-9488
(937) 593-3881
(937) 593-2430
Mailing address
PO BOX 190, 1107 RUSH AVE, BELLEFONTAINE, OH 43311-0190
(937) 593-3881
(937) 593-2430
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35057256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065900
ANTHEM PIN
OH
01
—
0872771
MEDICARE LEGACY NUMBER
—
05
—
2216471
—
OH
01
—
4393131
AETNA PIN
OH
01
—
OH7256
ECPA PIN
OH
01
—
P00118537
RR PIN
OH
Enumeration date
07/19/2006
Last updated
06/06/2013
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