Tkaczek, Tina Marie
Tkaczek, Tina Marie is an individual health care provider with primary practice located at 2150 Main Street , Springfield MA 01104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tkaczek, Tina Marie can be contacted via phone (413) 739-5676.Contact Information
Primary practice address
2150 Main Street
Springfield MA 01104
Phone: (413) 739-5676
Fax: (413) 733-5860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 217600 | Massachusetts |
Profile Details
| NPI number | 1154335354 |
|---|---|
| LBN Legal business name | Tkaczek, Tina Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jan 2nd, 2015 - about 10 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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