Tetz, Mark V

Tetz, Mark V is an individual health care provider with primary practice located at 311 W Noble Ave , Visalia CA 93277-2669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tetz, Mark V can be contacted via phone (559) 625-9200.

Contact Information

Primary practice address
311 W Noble Ave Visalia CA 93277-2669
Phone: (559) 625-9200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A54646 California

Profile Details

NPI number 1891779138
LBN Legal business name Tetz, Mark V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Apr 21st, 2011 - about 15 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 1891779138 NPPES
California MEDICAID 00A546460

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