Blaty, Tanya Sue

Blaty, Tanya Sue is an individual health care provider with primary practice located at 750 N Syringa St Ste 206B , Post Falls ID 83854-5275. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Blaty, Tanya Sue can be contacted via phone (208) 262-2439.

Contact Information

Primary practice address
750 N Syringa St Ste 206B Post Falls ID 83854-5275
Phone: (208) 262-2439
Fax: (208) 508-2259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X O-1230 Idaho
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X O-1230 Idaho

Profile Details

NPI number 1477991446
LBN Legal business name Blaty, Tanya Sue
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2013
Last updated Aug 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477991446 NPPES
Idaho MEDICAID 1477991446

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