Teton Internal Medicine Pc in Jackson - Specialist
Teton Internal Medicine Pc - NPI 1649474362
Teton Internal Medicine Pc is a Specialist in Jackson, . Teton Internal Medicine Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Teton Internal Medicine Pc is 1649474362. The last update date is 2008-05-27.
Teton Internal Medicine Pc's current location address is 555 East Broadway, Jackson, . You can contact this provider via phone number 3077337222. The mailing address for Teton Internal Medicine Pc is 555 East Broadway, Jackson, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Teton Internal Medicine Pc |
|---|---|
| Address | 555 East Broadway, Jackson, |
| Phone Number | 3077337222 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Butcher L Dennis |
| Credentials | MD |
| Telephone Number | 3077337222 |
NPI Number Detail
| NPI Number | 1649474362 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2008-05-27 |
Provider Mailing Address Detail
| Address | 555 East Broadway |
|---|---|
| City | Jackson |
| State | (WY) |
| Post Code | 83001 |
| Phone Number | 3077337222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Teton Internal Medicine Pc?
The Teton Internal Medicine Pc has been issued the NPI (National Provider Identifier) 1649474362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Teton Internal Medicine Pc's facilities are situated?
The facilities of Teton Internal Medicine Pc are physically located at the following address: 555 East Broadway, Jackson, WY, 83001.
What is Teton Internal Medicine Pc's area of expertise and its corresponding taxonomy classification?
The Teton Internal Medicine Pc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1649474362 to Teton Internal Medicine Pc?
The Teton Internal Medicine Pc received its 1649474362 assignment from the Centers for Medicare & Medicaid Services on 2007-06-14.
As of what date was the information regarding Teton Internal Medicine Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Teton Internal Medicine Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-27.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC