Coronado, Tiffany April

Coronado, Tiffany April is an individual health care provider with primary practice located at 6356 Phelan Blvd , Beaumont TX 77706-6150. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is her primary health care specialty. Coronado, Tiffany April can be contacted via phone (409) 347-8606.

Contact Information

Primary practice address
6356 Phelan Blvd Beaumont TX 77706-6150
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 47836 Texas
Chiropractic Providers / Chiropractor 111N00000X 13483 Texas

Profile Details

NPI number 1366763187
LBN Legal business name Coronado, Tiffany April
Credentials DC, PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2010
Last updated Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366763187 NPPES
Texas Other 587060AD5Z MEDICARE

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