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NPI Code Detail

MEDICARE: TIFFANY E.D. INGLIS M.D.

MEDICARE:   TIFFANY E.D. INGLIS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician35.084533OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104869700
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY E.D. INGLIS M.D.
Provider Business Mailing Address
First Line : 1 HEALTHY PL
Second Line : SUITE 201
City : PATASKALA
State : OH
Zip : 43062-7067
Country : US
Telephone Number : 220-564-1920
Fax Number : 220-564-1921
Provider Business Practice Location Address
First Line : 1 HEALTHY PL
Second Line : SUITE 201
City : PATASKALA
State : OH
Zip : 43062-7067
Country : US
Telephone Number : 220-564-1920
Fax Number : 220-564-1921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 09/13/2016

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Directions to “ TIFFANY E.D. INGLIS M.D.” Practice Location

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