1497909576 NPI number — JEUTI B. WYLDE, MD PSC

Table of content: (NPI 1497909576)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497909576 NPI number — JEUTI B. WYLDE, MD PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JEUTI B. WYLDE, MD PSC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497909576
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 128
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OTISCO
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47163-0128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-282-2036
Provider Business Mailing Address Fax Number:
812-282-2277

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1114 E. 10TH ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JEFFERSONVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47130-4227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-282-2036
Provider Business Practice Location Address Fax Number:
812-282-2277
Provider Enumeration Date:
11/16/2008

Additional Information

Authorized Official

Authorized Official Last Name:
WYLDE
Authorized Official First Name:
JEUTI
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
OWNER/OPERATOR
Authorized Official Telephone Number:
812-282-2036

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  01041261A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100362930 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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