Kidd, Tiffany A
Kidd, Tiffany A is an sole proprietor health care provider with primary practice located at Psc 451 Box 340 , Fpo AE 09834-0004. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Kidd, Tiffany A can be contacted via phone (318) 439-9053.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1215376280 |
|---|---|
| LBN Legal business name | Kidd, Tiffany A |
| Credentials | SFIDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2013 |
| Last updated | Jun 22nd, 2013 - about 12 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 | 1215376280 | NPPES |
| Other | 1710/1002X | MILITARY IDC |
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