Davenport, Tiffany

Davenport, Tiffany is an sole proprietor health care provider with primary practice located at 8007 Mount Hood , Huber Heights OH 45424-6934. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Davenport, Tiffany can be contacted via phone (937) 545-5793.

Contact Information

Primary practice address
8007 Mount Hood Huber Heights OH 45424-6934
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1508495813
LBN Legal business name Davenport, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2020
Last updated Apr 7th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508495813 NPPES
Ohio MEDICAID 0088176

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