Tichenor, Jeffery Alan

Tichenor, Jeffery Alan is an individual health care provider with primary practice located at 4049 S Campbell Ave , Springfield MO 65807-5303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Tichenor, Jeffery Alan can be contacted via phone (417) 890-5550.

Contact Information

Primary practice address
4049 S Campbell Ave Springfield MO 65807-5303
Phone: (417) 890-5550
Fax: (417) 890-6429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 109829 Missouri

Profile Details

NPI number 1629154851
LBN Legal business name Tichenor, Jeffery Alan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated May 22nd, 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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