Tietjen, Annalisa
Tietjen, Annalisa is an individual health care provider with primary practice located at 714 Ave C , Fort Pierce FL 32909. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Tietjen, Annalisa can be contacted via phone (772) 462-3800.Contact Information
Primary practice address
714 Ave C
Fort Pierce FL 32909
Phone: (772) 462-3800
Fax: (772) 462-3801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH17092 | Florida |
Profile Details
| NPI number | 1932506227 |
|---|---|
| LBN Legal business name | Tietjen, Annalisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2014 |
| Last updated | Dec 2nd, 2014 - about 11 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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