Teggatz, Susan E

Teggatz, Susan E is an individual health care provider with primary practice located at 5409 Avenue O Suite 1, Fort Madison IA 52627-9601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Teggatz, Susan E can be contacted via phone (319) 376-2134.

Contact Information

Primary practice address
5409 Avenue O Suite 1 Fort Madison IA 52627-9601
Phone: (319) 376-2134
Fax: (319) 376-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33739 Iowa

Profile Details

NPI number 1578542668
LBN Legal business name Teggatz, Susan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Oct 6th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578542668 NPPES
Iowa Other 1578542668 WELLMARK BLUE CROSS BLUE SHIELD
Iowa MEDICAID 1578542668 WELLMARK BLUE CROSS BLUE SHIELD

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