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
Phone: (740) 326-9099
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104353812 | NPPES |
Ohio | MEDICAID | 0260633 |
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