Tjaden, William Pete
Tjaden, William Pete is an individual health care provider with primary practice located at 2911 George Busbee Pkwy Nw Ste 50 , Kennesaw GA 30144-6910. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tjaden, William Pete can be contacted via phone (844) 328-4624.Contact Information
Primary practice address
2911 George Busbee Pkwy Nw Ste 50
Kennesaw GA 30144-6910
Phone: (844) 328-4624
Fax: (770) 882-2576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5314 | Arizona |
Profile Details
| NPI number | 1649328238 |
|---|---|
| LBN Legal business name | Tjaden, William Pete |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | May 22nd, 2019 - about 7 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 | 1649328238 | NPPES |
| Arizona | Other | 610640800 | GROUP OWCP |
| Arizona | Other | AZ0461720 | GROUP OWCP |
| Arizona | Other | 2Z1174 | GROUP OWCP |
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