Bronson, Tiffany Jordan
Bronson, Tiffany Jordan is an individual health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Bronson, Tiffany Jordan can be contacted via phone (541) 523-7400.Contact Information
Primary practice address
3425 13Th St
Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1760061808 |
|---|---|
| LBN Legal business name | Bronson, Tiffany Jordan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2021 |
| Last updated | Apr 6th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760061808 | NPPES |
| Oregon | Other | 305426 | DRIVER'S LICENSE |
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