Tigue, Kathleen A

Tigue, Kathleen A is an individual health care provider with primary practice located at 920 Viewmont Dr , Dickson City PA 18519-1664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tigue, Kathleen A can be contacted via phone (570) 346-1464.

Contact Information

Primary practice address
920 Viewmont Dr Dickson City PA 18519-1664
Fax: (570) 558-9051
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-072131-L Pennsylvania

Profile Details

NPI number 1710984349
LBN Legal business name Tigue, Kathleen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Nov 5th, 2015 - about 9 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 1710984349 NPPES
Pennsylvania MEDICAID 0018147570001

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