Tietjen, Gretchen E
Tietjen, Gretchen E is an individual health care provider with primary practice located at 2130 W Central Ave Ste 201 , Toledo OH 43606-3819. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Tietjen, Gretchen E can be contacted via phone (419) 291-3900.Contact Information
Primary practice address
2130 W Central Ave Ste 201
Toledo OH 43606-3819
Phone: (419) 291-3900
Fax: (419) 479-6055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35070023 | Ohio |
Profile Details
| NPI number | 1740276815 |
|---|---|
| LBN Legal business name | Tietjen, Gretchen E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | May 23rd, 2018 - about 6 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 | 1740276815 | NPPES |
| Ohio | MEDICAID | 0226848 |
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