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
Phone: (405) 243-5514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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