Perry, Tana Friesth

Perry, Tana Friesth is an individual health care provider with primary practice located at 201 Ridge St Ste 312 , Council Bluffs IA 51503-4643. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Perry, Tana Friesth can be contacted via phone (712) 396-7885.

Contact Information

Primary practice address
201 Ridge St Ste 312 Council Bluffs IA 51503-4643
Phone: (712) 396-7885
Fax: (712) 396-7885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 94-08716 Kansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD-46134 Iowa

Profile Details

NPI number 1942696901
LBN Legal business name Perry, Tana Friesth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2015
Last updated Aug 20th, 2019 - about 7 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 1942696901 NPPES
Nebraska MEDICAID 10026211300
Nebraska MEDICAID 1942696901
Nebraska MEDICAID 47068731777

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