Teckman, Jeffrey
Teckman, Jeffrey is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Teckman, Jeffrey can be contacted via phone (314) 577-5647.Contact Information
Primary practice address
1465 S Grand Blvd
Saint Louis MO 63104-1003
Phone: (314) 577-5647
Fax: (314) 268-2775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 108441 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 108441 | Missouri |
Profile Details
| NPI number | 1811907470 |
|---|---|
| LBN Legal business name | Teckman, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Mar 12th, 2021 - about 3 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 | 1811907470 | NPPES |
| Missouri | MEDICAID | 208057208 |
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