Individual
TERRY JOSEPH NOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1111 MADISON ST, JEFFERSON CITY, MO 65101-2753
(573) 635-7651
(573) 659-4515
Mailing address
1111 MADISON ST, JEFFERSON CITY, MO 65101-2753
(573) 635-7651
(573) 659-4515
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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