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
Fax: (419) 479-6055
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740276815 NPPES
Ohio MEDICAID 0226848

Popular Providers