Blaze, Tiffany Vernita

Blaze, Tiffany Vernita is an sole proprietor health care provider with primary practice located at 9403 Mansfield Rd , Shreveport LA 71118-3815. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Interpreter, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Blaze, Tiffany Vernita can be contacted via phone (318) 861-8938.

Contact Information

Primary practice address
9403 Mansfield Rd Shreveport LA 71118-3815
Phone: (318) 861-8938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Interpreter 171R00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1801542436
LBN Legal business name Blaze, Tiffany Vernita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2022
Last updated Feb 24th, 2022 - about 2 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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