Kocka, Tia M

Kocka, Tia M is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Kocka, Tia M can be contacted via phone (218) 732-2800.

Contact Information

Primary practice address
705 Pleasant Ave S Park Rapids MN 56470-1440
Phone: (218) 732-2800
Fax: (218) 732-2857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X R33968 Minnesota

Profile Details

NPI number 1710217179
LBN Legal business name Kocka, Tia M
Credentials CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2010
Last updated Aug 8th, 2012 - about 13 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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