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Contact Information

JORDAN TICHENOR
400 E 3RD ST
DULUTH, MN55805-1951
 Phone: 218-786-3737
 Fax: 187-278-3282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Infectious Diseases

1835I0206X
Indicates primary specialty

NPI Profile & details for JORDAN TICHENOR · (Female)

NPI # 1003299827
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2015
Last updated 05/07/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 71017
  • WI License # 77711
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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