Tetzlaff, Joel

Tetzlaff, Joel is an individual health care provider with primary practice located at 2720 N Harbor Blvd Suite 130, Fullerton CA 92835-2609. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tetzlaff, Joel can be contacted via phone (714) 449-6230.

Contact Information

Primary practice address
2720 N Harbor Blvd Suite 130 Fullerton CA 92835-2609
Phone: (714) 449-6230
Fax: (714) 449-1773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18035 California

Profile Details

NPI number 1164621074
LBN Legal business name Tetzlaff, Joel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Jul 12th, 2007 - about 17 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 1164621074 NPPES
California Other PA18035 LICENSE

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