Fitts, Tanya Jean
Fitts, Tanya Jean is an sole proprietor health care provider with primary practice located at 2166 S Lamar Blvd , Oxford MS 38655-5224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fitts, Tanya Jean can be contacted via phone (662) 236-3939.Contact Information
Primary practice address
2166 S Lamar Blvd
Oxford MS 38655-5224
Phone: (662) 236-3939
Fax: (662) 236-3924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 17111 | Mississippi |
Profile Details
| NPI number | 1366451049 |
|---|---|
| LBN Legal business name | Fitts, Tanya Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366451049 | NPPES |
| Mississippi | MEDICAID | 00125498 |
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