Black, Tiffany Clevette

Black, Tiffany Clevette is an sole proprietor health care provider with primary practice located at 3447 Cobblestone Ct , Spencer OK 73084-3258. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Black, Tiffany Clevette can be contacted via phone (405) 243-5514.

Contact Information

Primary practice address
3447 Cobblestone Ct Spencer OK 73084-3258
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1750673216
LBN Legal business name Black, Tiffany Clevette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2011
Last updated May 3rd, 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.

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