NPI 1912028861 MELICIEN TETTAMBEL, D.O., S.C. KIRKSVILLE MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Melicien Tettambel, D.o., S.c. - NPI: 1912028861

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: MELICIEN TETTAMBEL, D.O., S.C.
NPI Number: 1912028861
Entity Type Code: Organizational (2)
Authorized Official Name: MELICIEN TETTAMBEL
(PHYSICIAN)
Mailing Address: 1108 E Patterson St Suite 3
Kirksville
State: MO US
Postal Code: 635014002
Phone Number: 6606275175
Fax Number: 6606275180
NPI Enumeration Date: 04/02/2007
NPI Last Update Date: 07/09/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 204D00000X
License Number: R9714
Healthcare Provider Taxonomy:
(Secondary)
X
State: MO
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Neuromusculoskeletal Medicine & OMM
Taxonomy Specialization:
Taxonomy Definition:


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