Shade, Tina Lee

Shade, Tina Lee is an sole proprietor health care provider with primary practice located at 2255 Jfk Rd , Dubuque IA 52002-2846. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Shade, Tina Lee can be contacted via phone (563) 583-3629.

Contact Information

Primary practice address
2255 Jfk Rd Dubuque IA 52002-2846
Phone: (563) 583-3629
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 02378 Iowa

Profile Details

NPI number 1871830018
LBN Legal business name Shade, Tina Lee
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2013
Last updated Nov 14th, 2018 - about 7 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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