Coughenour, Tiffany C
Coughenour, Tiffany C is an individual health care provider with primary practice located at 3200 Channing Way Ste 205, Idaho Falls ID 83404-7546. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Coughenour, Tiffany C can be contacted via phone (208) 535-4300.Contact Information
Primary practice address
3200 Channing Way Ste 205
Idaho Falls ID 83404-7546
Phone: (208) 535-4300
Fax: (208) 535-4315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA244 | Idaho |
Profile Details
| NPI number | 1205959756 |
|---|---|
| LBN Legal business name | Coughenour, Tiffany C |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2007 |
| Last updated | Sep 13th, 2016 - about 8 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 | 1205959756 | NPPES |
| Idaho | MEDICAID | 805523500 |
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