Johnson, Tiffany L
Johnson, Tiffany L is an sole proprietor health care provider with primary practice located at 10412 W Custer Ave , Milwaukee WI 53225-3218. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Johnson, Tiffany L can be contacted via phone (414) 213-7073.Contact Information
Primary practice address
10412 W Custer Ave
Milwaukee WI 53225-3218
Phone: (414) 213-7073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X |
Profile Details
| NPI number | 1912544727 |
|---|---|
| LBN Legal business name | Johnson, Tiffany L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2019 |
| Last updated | Feb 3rd, 2020 - about 5 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 | 1912544727 | NPPES |
| Wisconsin | MEDICAID | 843815038 |
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