Dr. Jennifer Lee Tegethoff
Pediatrician
1200 E 6th Ave
Mitchell
, South Dakota 57301-2922
Dr. Jennifer Lee Tegethoff
Pediatrician
1200 E 6th Ave
Mitchell
, South Dakota 57301-2922
(605) 996-6660
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Jennifer Lee Tegethoff
- 1200 E 6th Ave
- Mitchell, SD
- Zip : 57301-2922
- Fax : (605) 996-6660
- Phone : (605) 996-6368
Second Address
- Dr. Jennifer Lee Tegethoff
- 1200 E 6th Ave
- Mitchell, SD
- Zip : 57301-2922
- Fax : (605) 996-6660
- Phone : (605) 996-6368
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 5460 | SD |
National Provider Identifier
| NPI | 1003882416 |
|---|---|
| Provider Name | Dr. Jennifer Lee Tegethoff |
| First Address | Mitchell, SD 57301-2922 |
| Second Address | Mitchell, SD 57301-2922 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2006 |
| Last Update Date | 10/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6701740 | (05) | SD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.