Reardon, Tia
Reardon, Tia is an individual health care provider with primary practice located at 500 N Nappanee St Ste 11B , Elkhart IN 46514-1500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Reardon, Tia can be contacted via phone (574) 522-9922.Contact Information
Primary practice address
500 N Nappanee St Ste 11B
Elkhart IN 46514-1500
Phone: (574) 522-9922
Fax: (574) 552-9926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 072825 | Ohio |
Profile Details
| NPI number | 1174651228 |
|---|---|
| LBN Legal business name | Reardon, Tia |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Oct 6th, 2010 - about 16 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 | 1174651228 | NPPES |
| Ohio | MEDICAID | 2538847 |
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