Threewitt, Tanya A

Threewitt, Tanya A is an individual health care provider with primary practice located at 5161 Clayton Rd Suite F, Concord CA 94521-3191. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Threewitt, Tanya A can be contacted via phone (925) 609-8282.

Contact Information

Primary practice address
5161 Clayton Rd Suite F Concord CA 94521-3191
Fax: (925) 609-8826
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A73909 California

Profile Details

NPI number 1699708610
LBN Legal business name Threewitt, Tanya A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 21st, 2012 - about 13 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 1699708610 NPPES
California MEDICAID 00A739090

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