Jackson, Tiffany Renee

Jackson, Tiffany Renee is an sole proprietor health care provider with primary practice located at 5533 Litchfield St , Philadelphia PA 19143-4714. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Jackson, Tiffany Renee can be contacted via phone (267) 320-8598.

Contact Information

Primary practice address
5533 Litchfield St Philadelphia PA 19143-4714
Phone: (267) 320-8598
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 171W00000X Pennsylvania

Profile Details

NPI number 1851613251
LBN Legal business name Jackson, Tiffany Renee
Credentials M.S.ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2010
Last updated Feb 25th, 2010 - 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.

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