Alson, Tiffany
Alson, Tiffany is an individual health care provider with primary practice located at 855 S Main St , Oconto Falls WI 54154-1241. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Alson, Tiffany can be contacted via phone (920) 846-3444.Contact Information
Primary practice address
855 S Main St
Oconto Falls WI 54154-1241
Phone: (920) 846-3444
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1139-019 | Wisconsin |
Profile Details
NPI number | 1194999821 |
---|---|
LBN Legal business name | Alson, Tiffany |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2008 |
Last updated | Sep 13th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194999821 | NPPES |
Wisconsin | MEDICAID | 11014100 | |
Wisconsin | Other | 390848401050 | |
Wisconsin | MEDICAID | 11014110 |
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