Christopher Dauterman
Registered Nurse in Jackson, MI. Individual provider (NPI-1).
NPI number1134514045
StatusActive
Last updated in NPPESMar 30, 2015
Details
- NPI
- 1134514045
- Entity type
- Individual (NPI-1)
- Name
- Christopher Dauterman
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2015
- Last updated
- Mar 30, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 4704271149 | MI | Yes |
Practice location
1320 East McDevittJackson, MI 49203
Phone 517-392-7910
Mailing address
1320 Old McDevittJackson, MI 49203
Phone 517-392-7910
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 63 Registered Nurse providers in Jackson · All 4,114 providers in Jackson
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