Teeter, Jennifer Marie
Teeter, Jennifer Marie is an individual health care provider with primary practice located at 1220 Spring St , Jeffersonville IN 47130-3704. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Teeter, Jennifer Marie can be contacted via phone (812) 282-8494.Contact Information
Primary practice address
1220 Spring St
Jeffersonville IN 47130-3704
Phone: (812) 282-8494
Fax: (812) 288-4481
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 250143 | New York |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02005701A | Indiana |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 250143 | New York |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 02005701A | Indiana |
Profile Details
NPI number | 1497075410 |
---|---|
LBN Legal business name | Teeter, Jennifer Marie |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2010 |
Last updated | Apr 5th, 2024 - about 7 months 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 | 1497075410 | NPPES |
Indiana | MEDICAID | 300034743 | |
Indiana | Other | 196290270 |
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