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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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 1497075410 NPPES
Indiana MEDICAID 300034743
Indiana Other 196290270

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