Tiemo, Aemi

Tiemo, Aemi is an individual health care provider with primary practice located at 55 Lake Ave N Dept Of Critical Care, Worcester MA 01655-0002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tiemo, Aemi can be contacted via phone (774) 443-7552.

Contact Information

Primary practice address
55 Lake Ave N Dept Of Critical Care Worcester MA 01655-0002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4266 Massachusetts

Profile Details

NPI number 1023394657
LBN Legal business name Tiemo, Aemi
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2011
Last updated Oct 27th, 2020 - about 5 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 1023394657 NPPES
Massachusetts MEDICAID 110113178A

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