Janicki, Tia L

Janicki, Tia L is an individual health care provider with primary practice located at 70 Midtown Park E , Mobile AL 36606-4140. 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. Janicki, Tia L can be contacted via phone (251) 289-1786.

Contact Information

Primary practice address
70 Midtown Park E Mobile AL 36606-4140
Phone: (251) 289-1786
Fax: (251) 544-6406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.1780 Alabama

Profile Details

NPI number 1972636843
LBN Legal business name Janicki, Tia L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Sep 15th, 2021 - about 5 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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