Tiedebohl, Scott
Tiedebohl, Scott is an sole proprietor health care provider with primary practice located at 25 Monument Rd Ste 295 , York PA 17403-5049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Tiedebohl, Scott can be contacted via phone (717) 356-5864.Contact Information
Primary practice address
25 Monument Rd Ste 295
York PA 17403-5049
Phone: (717) 356-5864
Fax: (717) 409-6221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD464828 | Pennsylvania |
Profile Details
| NPI number | 1992097562 |
|---|---|
| LBN Legal business name | Tiedebohl, Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2011 |
| Last updated | Feb 27th, 2024 - about last year |
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 | 1992097562 | NPPES |
| Pennsylvania | MEDICAID | 1035840960001 |
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