Tidball, Kelsi
Tidball, Kelsi is an individual health care provider with primary practice located at 1310 Coburg Rd Ste 5 , Eugene OR 97401-5200. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Tidball, Kelsi can be contacted via phone (541) 345-7532.Contact Information
Primary practice address
1310 Coburg Rd Ste 5
Eugene OR 97401-5200
Phone: (541) 345-7532
Fax: (541) 345-6692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 16665 | Oregon |
Profile Details
| NPI number | 1093121014 |
|---|---|
| LBN Legal business name | Tidball, Kelsi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2014 |
| Last updated | Jul 10th, 2014 - about 12 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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