Tibbetts, John Raschen
Tibbetts, John Raschen is an individual health care provider with primary practice located at 5353 Main St , Williamsville NY 14221-5337. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Tibbetts, John Raschen can be contacted via phone (716) 634-3511.Contact Information
Primary practice address
5353 Main St
Williamsville NY 14221-5337
Phone: (716) 634-3511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 044104 | New York |
Profile Details
| NPI number | 1033112800 |
|---|---|
| LBN Legal business name | Tibbetts, John Raschen |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033112800 | NPPES |
| New York | MEDICAID | 01543782 |
Popular Providers
-
Kohout, Charles William
6636 Main St Suite5, Williamsville NY 14221-5967 -
Bales, Thomas Reed
1713 Novato Blvd , Novato CA 94947-3014 -
Patrignani, Alan Michael
6636 Main St Suite 5, Williamsville NY 14221-5967 -
Howard, Lisa Peter
306 Us Route 1 Ste D1, Scarborough ME 04074-7640 -
Krishnan, Radha
294 Merrimac Ct Ste 294, Prince Frederick MD 20678-4110 -
Mericle, Penny
190 Welles St , Forty Fort PA 18704-4968 -
Albright, Richard H
1834 Oregon Pike , Lancaster PA 17601-6463 -
Graf, Steven J
4738 Scotts Valley Dr Ste C, Scotts Valley CA 95066-4239