Gifford, Tricia Kaye
Gifford, Tricia Kaye is an individual health care provider with primary practice located at 4001 W Goeller Blvd , Columbus IN 47201-8308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gifford, Tricia Kaye can be contacted via phone (812) 375-3330.Contact Information
Primary practice address
4001 W Goeller Blvd
Columbus IN 47201-8308
Phone: (812) 375-3330
Fax: (812) 375-3329
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36101716 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01063240 | Indiana |
Profile Details
NPI number | 1326029158 |
---|---|
LBN Legal business name | Gifford, Tricia Kaye |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 9th, 2005 |
Last updated | Jan 12th, 2023 - about last year |
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 | 1326029158 | NPPES |
Other | L76814 | PIN | |
MEDICAID | 201311170 | PIN | |
Other | 0004132020 | PIN | |
Other | 000000991452 | PIN | |
MEDICAID | 036101716 | PIN |
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