Tix, Robert

Tix, Robert is an individual health care provider with primary practice located at 14655 Galaxie Ave , Apple Valley MN 55124-8602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tix, Robert can be contacted via phone (651) 241-3779.

Contact Information

Primary practice address
14655 Galaxie Ave Apple Valley MN 55124-8602
Phone: (651) 241-3779
Fax: (651) 241-3825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12134 Minnesota

Profile Details

NPI number 1447603113
LBN Legal business name Tix, Robert
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2016
Last updated Jul 19th, 2021 - about 3 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 1447603113 NPPES
Other 1131661 NCCPA ID NUMBER
Other 12134 NCCPA ID NUMBER

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