Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. JASON THOMAS WILLIAM TETZLAFF
Active
Individual
MR. JASON THOMAS WILLIAM TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
2099
CA
1710I1002X
Independent Duty Corpsman
Primary
2099
AZ
174400000X
Specialist
—
CA
Other
Enumeration date
06/26/2006
Last updated
04/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers