GARY JETT MD LLC NPI 1437488061

NPI Information

NPI: 1437488061
Provider Name: GARY JETT MD LLC
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
3022 EST GOLDEN ROCK
SUITE 101
CHRISTIANSTED, VI
ZIP 00820
Phone: (340) 718-8282
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GARY JETT MD LLC is a rehabilitation practitioner in Christiansted, VI. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. GARY JETT MD LLC NPI is 1437488061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3022 EST GOLDEN ROCK
SUITE 101
CHRISTIANSTED, VI
ZIP 00820-804
Phone: (340) 718-8282
Fax: (340) 718-8290

The provider's authorized official is Gary Jett .
The authorized official title is Physican and has the following contact phone number (340) 778-8283.

The enumeration date for this NPI number is 12/10/2009 and was last updated on 10/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner		1084	VIRGIN ISLANDS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B43059	MEDICARE UPIN	VIRGIN ISLANDS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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