Edwards, Tiffany
Edwards, Tiffany is an individual health care provider with primary practice located at 6637 Lookout Lodge Ln # 101 , North Las Vegas NV 89084-2298. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Edwards, Tiffany can be contacted via phone (702) 410-9900.Contact Information
Primary practice address
6637 Lookout Lodge Ln # 101
North Las Vegas NV 89084-2298
Phone: (702) 410-9900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1912284688 |
|---|---|
| LBN Legal business name | Edwards, Tiffany |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2011 |
| Last updated | Nov 9th, 2011 - about 14 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 | 1912284688 | NPPES |
| Nevada | MEDICAID | 453689144 |
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