Horn, Tiffany Mae
Horn, Tiffany Mae is an individual health care provider with primary practice located at 790 Via Lata Ste 300 , Colton CA 92324-3978. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Horn, Tiffany Mae can be contacted via phone (909) 433-0445.Contact Information
Primary practice address
790 Via Lata Ste 300
Colton CA 92324-3978
Phone: (909) 433-0445
Fax: (909) 433-0556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1518291665 |
|---|---|
| LBN Legal business name | Horn, Tiffany Mae |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2009 |
| Last updated | Sep 4th, 2012 - about 13 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 | 1518291665 | NPPES |
| California | Other | 101YOOOOX | MEDI-CAL |
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