Tiffault, Rock Gerard

Tiffault, Rock Gerard is an individual health care provider with primary practice located at 1701 S Creasy Ln , Lafayette IN 47905-4972. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Tiffault, Rock Gerard can be contacted via phone (765) 423-6165.

Contact Information

Primary practice address
1701 S Creasy Ln Lafayette IN 47905-4972
Phone: (765) 423-6165
Fax: (765) 502-4683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L1219 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01056196A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01056196A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39496 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L1219 Texas

Profile Details

NPI number 1578528436
LBN Legal business name Tiffault, Rock Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jan 11th, 2024 - about 11 months 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 1578528436 NPPES
Texas Other P00471673 RR MEDICARE
Texas Other 1578528436 RR MEDICARE
Texas Other 8AN220 RR MEDICARE
Texas MEDICAID 142079626 RR MEDICARE
Texas MEDICAID 220226600 RR MEDICARE

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