Tiu, Fredelito B

Tiu, Fredelito B is an sole proprietor health care provider with primary practice located at 1702 W Anklam Rd Suite 110, Tucson AZ 85745-2606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tiu, Fredelito B can be contacted via phone (520) 792-8300.

Contact Information

Primary practice address
1702 W Anklam Rd Suite 110 Tucson AZ 85745-2606
Phone: (520) 792-8300
Fax: (520) 792-8303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27319 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27319 Arizona

Profile Details

NPI number 1346240843
LBN Legal business name Tiu, Fredelito B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Jun 26th, 2014 - about 12 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 1346240843 NPPES
Arizona MEDICAID 621137

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