Jett, Thomas Edward
Jett, Thomas Edward is an individual health care provider with primary practice located at 1460 Ne Medical Center Dr , Bend OR 97701-6061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jett, Thomas Edward can be contacted via phone (541) 382-6633.Contact Information
Primary practice address
1460 Ne Medical Center Dr
Bend OR 97701-6061
Phone: (541) 382-6633
Fax: (541) 382-9327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD14751 | Oregon |
Profile Details
| NPI number | 1649253063 |
|---|---|
| LBN Legal business name | Jett, Thomas Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Feb 7th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649253063 | NPPES |
| Oregon | MEDICAID | 17774 |
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