Tichauer, Cory Sean

Tichauer, Cory Sean is an sole proprietor health care provider with primary practice located at 1012 E Jackson St , Medford OR 97504-7027. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Tichauer, Cory Sean can be contacted via phone (541) 770-5563.

Contact Information

Primary practice address
1012 E Jackson St Medford OR 97504-7027
Fax: (541) 772-3028
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 1324 Oregon

Profile Details

NPI number 1982763231
LBN Legal business name Tichauer, Cory Sean
Credentials ND
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Aug 5th, 2009 - about 16 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 1982763231 NPPES
Oregon MEDICAID 029098
Oregon Other 865304002

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