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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033112800 | NPPES |
| New York | MEDICAID | 01543782 |
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