Boardwine, Tiffany Brooke

Boardwine, Tiffany Brooke is an sole proprietor health care provider with primary practice located at 13039 King Mill Pike , Bristol VA 24202-4405. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Boardwine, Tiffany Brooke can be contacted via phone (276) 202-4032.

Contact Information

Primary practice address
13039 King Mill Pike Bristol VA 24202-4405
Phone: (276) 202-4032
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X T66522665 Virginia

Profile Details

NPI number 1972979565
LBN Legal business name Boardwine, Tiffany Brooke
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2015
Last updated Aug 18th, 2015 - about 9 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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