Ickiewicz, Tiffany

Ickiewicz, Tiffany is an individual health care provider with primary practice located at 765 Liberty St Ste 310 , Meadville PA 16335-2569. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ickiewicz, Tiffany can be contacted via phone (814) 333-7030.

Contact Information

Primary practice address
765 Liberty St Ste 310 Meadville PA 16335-2569
Phone: (814) 333-7030
Fax: (814) 373-3428
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA054038 Pennsylvania

Profile Details

NPI number 1902101140
LBN Legal business name Ickiewicz, Tiffany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2011
Last updated Jul 6th, 2021 - 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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