Hetland, Tia Kay

Hetland, Tia Kay is an individual health care provider with primary practice located at 601 E 7Th St Suite 3, Platte SD 57369-2123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hetland, Tia Kay can be contacted via phone (605) 337-3364.

Contact Information

Primary practice address
601 E 7Th St Suite 3 Platte SD 57369-2123
Fax: (605) 337-3360
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0862 South Dakota

Profile Details

NPI number 1649613076
LBN Legal business name Hetland, Tia Kay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2013
Last updated May 3rd, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649613076 NPPES
South Dakota Other S107304 MEDICARE PTAN

Popular Providers