Provider Demographics
NPI:1184958027
Name:T'S SURGICAL ASSISTING LLC
Entity type:Organization
Organization Name:T'S SURGICAL ASSISTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TYNETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:SA-C
Authorized Official - Phone:219-973-3844
Mailing Address - Street 1:PO BOX 341
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-0341
Mailing Address - Country:US
Mailing Address - Phone:219-973-3844
Mailing Address - Fax:
Practice Address - Street 1:15 FORESTDALE PARK
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-5308
Practice Address - Country:US
Practice Address - Phone:708-487-6556
Practice Address - Fax:708-933-3470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09-270282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital