Tidquist, Debra Lynn
Tidquist, Debra Lynn is an individual health care provider with primary practice located at 18601 Lincoln St , Whitehall WI 54773-8605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tidquist, Debra Lynn can be contacted via phone (715) 538-4361.Contact Information
Primary practice address
18601 Lincoln St
Whitehall WI 54773-8605
Phone: (715) 538-4361
Fax: (715) 538-2912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2950-33 | Wisconsin |
Profile Details
| NPI number | 1841398765 |
|---|---|
| LBN Legal business name | Tidquist, Debra Lynn |
| Credentials | APRN-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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