Will, Tia D.

Will, Tia D. is an individual health care provider with primary practice located at 1955 Cowell Blvd , Davis CA 95616-6325. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Will, Tia D. can be contacted via phone (916) 757-7100.

Contact Information

Primary practice address
1955 Cowell Blvd Davis CA 95616-6325
Phone: (916) 757-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G53412 California

Profile Details

NPI number 1104998863
LBN Legal business name Will, Tia D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 19 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 1104998863 NPPES
California MEDICAID 00G534120

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