Kodak, Tiffany M

Kodak, Tiffany M is an individual health care provider with primary practice located at 985450 Nebraska Medical Ctr , Omaha NE 68198-5450. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Kodak, Tiffany M can be contacted via phone (402) 559-8943.

Contact Information

Primary practice address
985450 Nebraska Medical Ctr Omaha NE 68198-5450
Phone: (402) 559-8943
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 690 Nebraska

Profile Details

NPI number 1467621425
LBN Legal business name Kodak, Tiffany M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2008
Last updated Feb 25th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467621425 NPPES
Nebraska MEDICAID 10025287200

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