Tegethoff, Jennifer Lee

Tegethoff, Jennifer Lee is an individual health care provider with primary practice located at 1200 E 6Th Ave , Mitchell SD 57301-2922. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tegethoff, Jennifer Lee can be contacted via phone (605) 996-6368.

Contact Information

Primary practice address
1200 E 6Th Ave Mitchell SD 57301-2922
Phone: (605) 996-6368
Fax: (605) 996-6660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5460 South Dakota

Profile Details

NPI number 1003882416
LBN Legal business name Tegethoff, Jennifer Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jan 10th, 2013 - about 12 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 1003882416 NPPES
South Dakota MEDICAID 6701740

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