Tedrow, Jeffrey R
Tedrow, Jeffrey R is an individual health care provider with primary practice located at 17571 N Dam Access Rd , Warsaw MO 65355-6396. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tedrow, Jeffrey R can be contacted via phone (660) 438-2717.Contact Information
Primary practice address
17571 N Dam Access Rd
Warsaw MO 65355-6396
Phone: (660) 438-2717
Fax: (660) 827-8992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R3M74 | Missouri |
Profile Details
| NPI number | 1548282064 |
|---|---|
| LBN Legal business name | Tedrow, Jeffrey R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | May 26th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548282064 | NPPES |
| Missouri | MEDICAID | 202868501 | |
| Missouri | Other | 113190 |
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