O'Hern, Tiffany Erin

O'Hern, Tiffany Erin is an individual health care provider with primary practice located at 1532 Calumet Ave , Dyer IN 46311-1505. 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. O'Hern, Tiffany Erin can be contacted via phone (219) 323-8700.

Contact Information

Primary practice address
1532 Calumet Ave Dyer IN 46311-1505
Phone: (219) 323-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001859B Indiana

Profile Details

NPI number 1285073841
LBN Legal business name O'Hern, Tiffany Erin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2013
Last updated Oct 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285073841 NPPES
Indiana Other 10001859B LICENSE

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