Tickner, Anthony J
Tickner, Anthony J is an sole proprietor health care provider with primary practice located at 439 Main St , Hudson MA 01749-1855. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Tickner, Anthony J can be contacted via phone (978) 562-2155.Contact Information
Primary practice address
439 Main St
Hudson MA 01749-1855
Phone: (978) 562-2155
Fax: (978) 562-2640
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 2317 | Massachusetts |
Profile Details
NPI number | 1790872497 |
---|---|
LBN Legal business name | Tickner, Anthony J |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 6th, 2006 |
Last updated | Nov 11th, 2010 - about 14 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 | 1790872497 | NPPES |
Massachusetts | MEDICAID | 0714763 |
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