Brown, Tiffany L
Brown, Tiffany L is an sole proprietor health care provider with primary practice located at 1715 Indian Wood Cir Ste 200 , Maumee OH 43537-4055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brown, Tiffany L can be contacted via phone (877) 564-3627.Contact Information
Primary practice address
1715 Indian Wood Cir Ste 200
Maumee OH 43537-4055
Phone: (877) 564-3627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 12667 | Ohio |
Profile Details
| NPI number | 1518240571 |
|---|---|
| LBN Legal business name | Brown, Tiffany L |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2011 |
| Last updated | Mar 21st, 2020 - 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 | 1518240571 | NPPES |
| Ohio | MEDICAID | 0058393 | |
| Ohio | Other | 000000744488 | |
| Ohio | Other | P01019993 | |
| Ohio | Other | 421534506184 |
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