Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD021855E | PA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD021855E | PA |
NPI | 1801865001 |
---|---|
Provider Name | Jeffrey F Minteer |
First Address | Washington, PA 15301-3368 |
Second Address | Washington, PA 15301-3368 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 21/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000408167 | HIGHMARK (01) | |
0010196240002 | (05) | PA |
100718 | UPMC (01) | |
63906 | UNISON (01) | |
B41324 | (02) | |
P000414 | GATEWAY (01) |