Tjalas, Kirk Alan
Tjalas, Kirk Alan is an sole proprietor health care provider with primary practice located at 7620 N Hartman Ln Ste 180 , Tucson AZ 85743-7485. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Tjalas, Kirk Alan can be contacted via phone (520) 689-6814.Contact Information
Primary practice address
7620 N Hartman Ln Ste 180
Tucson AZ 85743-7485
Phone: (520) 689-6814
Fax: (866) 740-4777
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Home Health | 163WH0200X | RN124753 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 234051 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 234051 | Arizona |
Profile Details
NPI number | 1487930871 |
---|---|
LBN Legal business name | Tjalas, Kirk Alan |
Credentials | PH.DFNP-BC,PMHNP-BC, |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 29th, 2011 |
Last updated | Apr 7th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487930871 | NPPES |
Arizona | Other | 615761900 | DEEOIC HOME HEALTH CARE PROVIDER |
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