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
Fax: (978) 562-2640
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790872497 NPPES
Massachusetts MEDICAID 0714763

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