Chisolm, Tiera

Chisolm, Tiera is an individual health care provider with primary practice located at 1704 Mary Beth Dr , Middleburg FL 32068-7833. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Chisolm, Tiera can be contacted via phone (904) 888-4597.

Contact Information

Primary practice address
1704 Mary Beth Dr Middleburg FL 32068-7833
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X RPT66081 Florida

Profile Details

NPI number 1487205654
LBN Legal business name Chisolm, Tiera
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2019
Last updated Sep 27th, 2019 - about 5 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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