Avery, Tiffany
Avery, Tiffany is an sole proprietor health care provider with primary practice located at 3303 E Baseline Rd , Gilbert AZ 85234-2738. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Avery, Tiffany can be contacted via phone (480) 269-2656.Contact Information
Primary practice address
3303 E Baseline Rd
Gilbert AZ 85234-2738
Phone: (480) 269-2656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 1090 | Arizona |
Profile Details
| NPI number | 1043734650 |
|---|---|
| LBN Legal business name | Avery, Tiffany |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2017 |
| Last updated | Jun 11th, 2019 - about 5 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 | 1043734650 | NPPES |
| Arizona | MEDICAID | 1090 | |
| Arizona | Other | 1090 |
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