Jennifer L Etling is a Surgery in St Peters, Missouri. Jennifer L Etling practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jennifer L Etling is 1528020328. The last update date is 2022-01-06.
Jennifer L Etling's current location address is 6 Jungermann Circle, St Peters, Missouri. You can contact this provider via phone number 6364412122 and fax number 6364415290. The mailing address for Jennifer L Etling is 6 Jungermann Circle, St Peters, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L Etling |
|---|---|
| Address | 6 Jungermann Circle, St Peters, Missouri |
| Phone Number | 6364412122 |
| Fax Number | 6364415290 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528020328 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2022-01-06 |
Provider Mailing Address Detail
| Address | 6 Jungermann Circle |
|---|---|
| City | St Peters |
| State | Missouri (MO) |
| Post Code | 63376 |
| Phone Number | 6364412122 |
| Fax Number | 6364415290 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 2005000203 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 165817 | BLUE SHIELD | ||
| 209370105 | MO | -- | |
| M6725 | MEDICARE ARKANSAS | ||
| 165817 | BLUE CHOICE | ||
| 4309109800 | PRODENTIAL | ||
| 17283 | EXCLUSIVE CHOICE | ||
| 12593 | ESSENCE | ||
| 231210 | GHP | ||
| P00195292 | RAILROAD MEDICARE | ||
| 1700267 | UNITED HEALTHCARE |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer L Etling by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer L Etling has been assigned the NPI (National Provider Identifier) 1528020328. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jennifer L Etling's facilities are geographically located?
The facilities of Jennifer L Etling are physically situated at the following location: 6 Jungermann Circle, St Peters, MO, 63376.
What is the Jennifer L Etling's specialty and taxonomy code?
The Jennifer L Etling's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528020328 to Jennifer L Etling?
The Jennifer L Etling received its 1528020328 assignment from the Centers for Medicare & Medicaid Services on 2006-04-05.
As of what date was the information regarding Jennifer L Etling, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer L Etling, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-06.