Provider Demographics
NPI:1720016116
Name:REMPEL, TERRENCE D (MD MPH)
Entity Type:Individual
Prefix:
First Name:TERRENCE
Middle Name:D
Last Name:REMPEL
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 E 2ND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1455
Mailing Address - Country:US
Mailing Address - Phone:509-455-5555
Mailing Address - Fax:509-455-4114
Practice Address - Street 1:323 E 2ND AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1455
Practice Address - Country:US
Practice Address - Phone:509-455-5555
Practice Address - Fax:509-455-4114
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000243662083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA45156OtherLABOR & INDUSTRIES
WA8152266Medicaid
WA8152266Medicaid
E50812Medicare UPIN