Jewett, Theodore Thomas

Jewett, Theodore Thomas is an individual health care provider with primary practice located at 17705 Hutchins Dr , Minnetonka MN 55345-4145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jewett, Theodore Thomas can be contacted via phone (952) 401-8300.

Contact Information

Primary practice address
17705 Hutchins Dr Minnetonka MN 55345-4145
Phone: (952) 401-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21367 Minnesota

Profile Details

NPI number 1396717070
LBN Legal business name Jewett, Theodore Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396717070 NPPES
Minnesota Other 100452 UCARE
Minnesota Other CP9040844007 UCARE
Minnesota Other 08001JE UCARE
Minnesota Other 1210207 UCARE

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