Individual
TERRY JOSEPH NOLD
Active
Individual
TERRY JOSEPH NOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36677
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-04022
UNITED HEALTH CARE
MO
01
—
10503A001
BLUE CROSS/BLUE SHIELD
MO
01
—
106271
MERCY HEALTH PLANS
MO
01
—
119187
HEALTHLINK
MO
01
—
13045
GROUP HEALTH PLAN
MO
01
—
25016
BLUE CHOICE
MO
01
—
4457922
AETNA INSURANCE
MO
Enumeration date
08/22/2006
Last updated
08/30/2007
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