Addison, Tina

Addison, Tina is an individual health care provider with primary practice located at #24 Great Plains Rd , Arapahoe WY 82510-0024. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Addison, Tina can be contacted via phone (307) 856-0470.

Contact Information

Primary practice address
#24 Great Plains Rd Arapahoe WY 82510-0024
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1396198792
LBN Legal business name Addison, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2016
Last updated Jul 20th, 2016 - about 8 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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