Teter, Jared Gifford

Teter, Jared Gifford is an individual health care provider with primary practice located at 2234 N Wahsatch Ave , Colorado Springs CO 80907-6940. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Teter, Jared Gifford can be contacted via phone (719) 632-2376.

Contact Information

Primary practice address
2234 N Wahsatch Ave Colorado Springs CO 80907-6940
Fax: (719) 633-2327
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1912021312
LBN Legal business name Teter, Jared Gifford
Credentials AU.D., F-AAA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jan 29th, 2021 - about 4 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 1912021312 NPPES
New York Other 11454844 CAQH PROVIDER ID NUMBER

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