Bailly-Renner, Tiffany

Bailly-Renner, Tiffany is an sole proprietor health care provider with primary practice located at 1200 W Ironwood Dr , Coeur D Alene ID 83814-2660. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Bailly-Renner, Tiffany can be contacted via phone (208) 664-9729.

Contact Information

Primary practice address
1200 W Ironwood Dr Coeur D Alene ID 83814-2660
Fax: (208) 263-7515
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 30167 Idaho

Profile Details

NPI number 1891014320
LBN Legal business name Bailly-Renner, Tiffany
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2010
Last updated May 24th, 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.

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