Tjen, Sugiarto
Tjen, Sugiarto is an individual health care provider with primary practice located at 710 Center St , Columbus GA 31901-1527. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Tjen, Sugiarto can be contacted via phone (706) 571-1374.Contact Information
Primary practice address
710 Center St
Columbus GA 31901-1527
Phone: (706) 571-1374
Fax: (706) 660-2686
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0002104 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 2104 | Georgia |
Profile Details
NPI number | 1720072010 |
---|---|
LBN Legal business name | Tjen, Sugiarto |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2005 |
Last updated | Feb 22nd, 2023 - about last year |
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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