Pike, Tanya Jean

Pike, Tanya Jean is an sole proprietor health care provider with primary practice located at 400 Sun Temple Dr. , Madison AL 35758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pike, Tanya Jean can be contacted via phone (256) 774-5524.

Contact Information

Primary practice address
400 Sun Temple Dr. Madison AL 35758
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CRNP1-194303 Alabama

Profile Details

NPI number 1780980615
LBN Legal business name Pike, Tanya Jean
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2011
Last updated Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780980615 NPPES
Florida Other Y07J1 BCBS
Florida MEDICAID 003418700 BCBS

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