Tietjen, John Charles
Tietjen, John Charles is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tietjen, John Charles can be contacted via phone (518) 262-6279.Contact Information
Primary practice address
47 New Scotland Ave
Albany NY 12208-3412
Phone: (518) 262-6279
Fax: (518) 262-5718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 210898-1 | New York |
Profile Details
| NPI number | 1750377420 |
|---|---|
| LBN Legal business name | Tietjen, John Charles |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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 | 1750377420 | NPPES |
| New York | MEDICAID | 01917835 |
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