Tiechner, Jac R
Tiechner, Jac R is an individual health care provider with primary practice located at 616 N Chelan Ave , Wenatchee WA 98801-2025. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Tiechner, Jac R can be contacted via phone (509) 662-2970.Contact Information
Primary practice address
616 N Chelan Ave
Wenatchee WA 98801-2025
Phone: (509) 662-2970
Fax: (509) 665-9808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO00000207 | Washington |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO00000207 | Washington |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | PO00000207 | Washington |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO00000207 | Washington |
Profile Details
| NPI number | 1518908573 |
|---|---|
| LBN Legal business name | Tiechner, Jac R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | May 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518908573 | NPPES |
| Washington | Other | 15520000 | WA STATE LABOR AND INDUSTRY |
| Washington | Other | 0035677 | WA STATE LABOR AND INDUSTRY |
| Washington | Other | 480661080 | WA STATE LABOR AND INDUSTRY |
| Washington | MEDICAID | 1013614 | WA STATE LABOR AND INDUSTRY |
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