Anderson Terrell, Tiffany
Anderson Terrell, Tiffany is an individual health care provider with primary practice located at 5253 Riverside Dr , Chino CA 91710-4151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Anderson Terrell, Tiffany can be contacted via phone (909) 464-2845.Contact Information
Primary practice address
5253 Riverside Dr
Chino CA 91710-4151
Phone: (909) 464-2845
Fax: (909) 464-2848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A8506 | California |
Profile Details
| NPI number | 1629188404 |
|---|---|
| LBN Legal business name | Anderson Terrell, Tiffany |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 10th, 2010 - 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 | 1629188404 | NPPES |
| California | MEDICAID | 00AX85060 | |
| California | Other | 00AXB5060N31 | |
| California | Other | P00055172 |
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