Compton, Tristin Nichole

Compton, Tristin Nichole is an individual health care provider with primary practice located at 113 W Gambier St , Mount Vernon OH 43050-2421. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Compton, Tristin Nichole can be contacted via phone (740) 326-9099.

Contact Information

Primary practice address
113 W Gambier St Mount Vernon OH 43050-2421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.161853 Oregon

Profile Details

NPI number 1104353812
LBN Legal business name Compton, Tristin Nichole
Credentials LCDCIII
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2017
Last updated Nov 10th, 2021 - about 3 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 1104353812 NPPES
Ohio MEDICAID 0260633

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