Tan, Caridad C

Tan, Caridad C is an individual health care provider with primary practice located at 2730 Pierce St Ste 402A , Sioux City IA 51104-3766. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Tan, Caridad C can be contacted via phone (712) 252-8191.

Contact Information

Primary practice address
2730 Pierce St Ste 402A Sioux City IA 51104-3766
Fax: (712) 252-8192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 28744 Iowa
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4626 South Dakota

Profile Details

NPI number 1326094095
LBN Legal business name Tan, Caridad C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 5th, 2014 - about 11 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 1326094095 NPPES
Iowa MEDICAID 120112

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