Frederickson, Tiffany Ann
Frederickson, Tiffany Ann is an sole proprietor health care provider with primary practice located at 8412 Kitt Peak Rd , Rapid City SD 57702-9512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Frederickson, Tiffany Ann can be contacted via phone (515) 201-8982.Contact Information
Primary practice address
8412 Kitt Peak Rd
Rapid City SD 57702-9512
Phone: (515) 201-8982
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R-8763 | Iowa |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | TD151001 | Maine |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9138 | South Dakota |
Profile Details
| NPI number | 1265669956 |
|---|---|
| LBN Legal business name | Frederickson, Tiffany Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2009 |
| Last updated | Sep 15th, 2015 - about 10 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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