Organization
JETT FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JETT MD (OWNER AND PROVIDER)
(207) 743-9645
Entity
Organization
Contact information
Practice address
193 MAIN ST, NORWAY, ME 04268-5645
(207) 743-9645
(207) 743-1954
Mailing address
193 MAIN ST, NORWAY, ME 04268-5645
(207) 743-9645
(207) 743-1954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2553559
AETNA
ME
01
—
M197590
CIGNA
ME
Enumeration date
12/08/2006
Last updated
04/10/2008
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