Carpenter, Tiffany Jackson

Carpenter, Tiffany Jackson is an individual health care provider with primary practice located at 3126 Appaloosa Cir , San Angelo TX 76901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Carpenter, Tiffany Jackson can be contacted via phone (325) 944-4399.

Contact Information

Primary practice address
3126 Appaloosa Cir San Angelo TX 76901
Phone: (325) 944-4399
Fax: (325) 944-4556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 105626 Texas

Profile Details

NPI number 1093766545
LBN Legal business name Carpenter, Tiffany Jackson
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093766545 NPPES
Texas Other 8T0538 BLUE CROSS BLUE SHIELD

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