Gifford, Tricia Kaye

Gifford, Tricia Kaye is an individual health care provider with primary practice located at 4001 W Goeller Blvd , Columbus IN 47201-8308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gifford, Tricia Kaye can be contacted via phone (812) 375-3330.

Contact Information

Primary practice address
4001 W Goeller Blvd Columbus IN 47201-8308
Phone: (812) 375-3330
Fax: (812) 375-3329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36101716 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01063240 Indiana

Profile Details

NPI number 1326029158
LBN Legal business name Gifford, Tricia Kaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 6th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326029158 NPPES
Illinois MEDICAID 036101716
Illinois Other 0004132020
Illinois MEDICAID 201311170
Illinois Other 000000991452
Illinois Other L76814

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