Hayner, Tiffany

Hayner, Tiffany is an individual health care provider with primary practice located at 1675 Curlew Dr , Ammon ID 83406-4850. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hayner, Tiffany can be contacted via phone (208) 523-5319.

Contact Information

Primary practice address
1675 Curlew Dr Ammon ID 83406-4850
Fax: (208) 523-5319
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LMSW-38327 Idaho

Profile Details

NPI number 1477018323
LBN Legal business name Hayner, Tiffany
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2019
Last updated Feb 5th, 2019 - about 6 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 1477018323 NPPES
Idaho MEDICAID 820528740

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