Teegarden, Jennifer
Teegarden, Jennifer is an individual health care provider with primary practice located at 12330 Metcalf Ave Suite 400, Overland Park KS 66213-1324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Teegarden, Jennifer can be contacted via phone (913) 317-7990.Contact Information
Primary practice address
12330 Metcalf Ave Suite 400
Overland Park KS 66213-1324
Phone: (913) 317-7990
Fax: (913) 317-7018
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-31254 | Kansas |
Profile Details
NPI number | 1720054315 |
---|---|
LBN Legal business name | Teegarden, Jennifer |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 24th, 2006 |
Last updated | Mar 29th, 2011 - about 13 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 | 1720054315 | NPPES |
Kansas | MEDICAID | 200366620B |
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