Tiedebohl, Scott

Tiedebohl, Scott is an sole proprietor health care provider with primary practice located at 25 Monument Rd Ste 295 , York PA 17403-5049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Tiedebohl, Scott can be contacted via phone (717) 356-5864.

Contact Information

Primary practice address
25 Monument Rd Ste 295 York PA 17403-5049
Phone: (717) 356-5864
Fax: (717) 409-6221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD464828 Pennsylvania

Profile Details

NPI number 1992097562
LBN Legal business name Tiedebohl, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2011
Last updated Feb 27th, 2024 - about 2 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 1992097562 NPPES
Pennsylvania MEDICAID 1035840960001

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