Tice, Ann

Tice, Ann is an individual health care provider with primary practice located at 1 E Main St Suite 103, Champaign IL 61820-3654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Tice, Ann can be contacted via phone (217) 693-4400.

Contact Information

Primary practice address
1 E Main St Suite 103 Champaign IL 61820-3654
Phone: (217) 693-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Illinois

Profile Details

NPI number 1235240904
LBN Legal business name Tice, Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 25th, 2008 - about 18 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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