Tice-Raskin, Sandra K.

Tice-Raskin, Sandra K. is an individual health care provider with primary practice located at 11795 Education St Suite 100, Auburn CA 95602-2454. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tice-Raskin, Sandra K. can be contacted via phone (530) 886-2300.

Contact Information

Primary practice address
11795 Education St Suite 100 Auburn CA 95602-2454
Phone: (530) 886-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G80791 California

Profile Details

NPI number 1851463681
LBN Legal business name Tice-Raskin, Sandra K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 28th, 2015 - about 11 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 1851463681 NPPES
California MEDICAID 00G807910

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