Douglas N Tietjen in Lees Summit - Specialist
Douglas N Tietjen - NPI 1679522700
Douglas N Tietjen is a Specialist in Lees Summit, Missouri. Douglas N Tietjen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Douglas N Tietjen is 1679522700. The last update date is 2022-04-14.
Douglas N Tietjen's current location address is 451 Nw Murray Rd, Lees Summit, Missouri. You can contact this provider via phone number 8165241007 and fax number 8165241988. The mailing address for Douglas N Tietjen is 451 Nw Murray Rd, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas N Tietjen |
|---|---|
| Address | 451 Nw Murray Rd, Lees Summit, Missouri |
| Phone Number | 8165241007 |
| Fax Number | 8165241988 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679522700 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2022-04-14 |
Provider Mailing Address Detail
| Address | 451 Nw Murray Rd |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 640811425 |
| Phone Number | 8165241007 |
| Fax Number | 8165241988 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 428228 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205101 | MO | -- | |
| 340016722 | RR MEDICARE | ||
| 25977052 | MO | BCBS |
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What is the unique identification code assigned to Douglas N Tietjen by the Centers for Medicare & Medicaid Services?
The Douglas N Tietjen has been issued the NPI (National Provider Identifier) 1679522700. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Douglas N Tietjen located?
The Douglas N Tietjen is located at 451 Nw Murray Rd, Lees Summit, MO 640811425.
What is the area of specialization for Douglas N Tietjen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglas N Tietjen is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Douglas N Tietjen receive the assignment of its 1679522700 from the Centers for Medicare & Medicaid Services?
The Douglas N Tietjen was issued its 1679522700 by the Centers for Medicare & Medicaid Services on 2006-05-08.
When was the Douglas N Tietjen's information last updated?
The Douglas N Tietjen's information was last updated on 2022-04-14.