Letha Louise Tetrick in Indianapolis - Specialist
Letha Louise Tetrick - NPI 1386698967
Letha Louise Tetrick is a Specialist in Indianapolis, Indiana. Letha Louise Tetrick practices all healthcare services and medical treatments related to Specialist. The NPI Number for Letha Louise Tetrick is 1386698967. The last update date is 2020-01-29.
Letha Louise Tetrick's current location address is 8101 Clearvista Pkwy, Indianapolis, Indiana. You can contact this provider via phone number 3176219000 and fax number 3176219194. The mailing address for Letha Louise Tetrick is 8101 Clearvista Pkwy, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Letha Louise Tetrick |
|---|---|
| Address | 8101 Clearvista Pkwy, Indianapolis, Indiana |
| Phone Number | 3176219000 |
| Fax Number | 3176219194 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386698967 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2020-01-29 |
Provider Mailing Address Detail
| Address | 8101 Clearvista Pkwy |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462564696 |
| Phone Number | 3176219000 |
| Fax Number | 3176219194 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1036127 |
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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 Letha Louise Tetrick?
The Letha Louise Tetrick has been issued the NPI (National Provider Identifier) 1386698967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Letha Louise Tetrick's physical address?
The Letha Louise Tetrick is physically located at 8101 Clearvista Pkwy, in the city of Indianapolis, IN, with the postal code 462564696.
What is Letha Louise Tetrick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Letha Louise Tetrick's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386698967 to Letha Louise Tetrick?
The Letha Louise Tetrick received its 1386698967 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.
As of what date were the Letha Louise Tetrick's details last updated?
The information pertaining to the Letha Louise Tetrick, including its address, specialty, and other details, was most recently updated on 2020-01-29.