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
Phone: (605) 337-3364
Fax: (605) 337-3360
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649613076 | NPPES |
| South Dakota | Other | S107304 | MEDICARE PTAN |
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