Tiahrt, Jeffrey S.

Tiahrt, Jeffrey S. is an individual health care provider with primary practice located at 1901 Connecticut Ave. S , Sartell MN 56377. 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. Tiahrt, Jeffrey S. can be contacted via phone (320) 259-4100.

Contact Information

Primary practice address
1901 Connecticut Ave. S Sartell MN 56377
Phone: (320) 259-4100
Fax: (320) 257-5523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10396 Minnesota

Profile Details

NPI number 1912183476
LBN Legal business name Tiahrt, Jeffrey S.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2008
Last updated May 20th, 2020 - about 5 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 1912183476 NPPES
Minnesota Other P00463430 RR MEDICAID
Minnesota MEDICAID 970003410 RR MEDICAID

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