Heath, Tisa
Heath, Tisa is an sole proprietor health care provider with primary practice located at 2135 Tiffany Ln , Lithonia GA 30058-5320. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Heath, Tisa can be contacted via phone (678) 984-4984.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1265907075 |
|---|---|
| LBN Legal business name | Heath, Tisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2018 |
| Last updated | Oct 8th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265907075 | NPPES |
| Georgia | Other | 81-4250548 | TID |
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