Koen, Tisha Lee

Koen, Tisha Lee is an sole proprietor health care provider with primary practice located at 2933 H St , Eureka CA 95501-4407. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Koen, Tisha Lee can be contacted via phone (707) 441-3783.

Contact Information

Primary practice address
2933 H St Eureka CA 95501-4407
Phone: (707) 441-3783
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X California

Profile Details

NPI number 1235778465
LBN Legal business name Koen, Tisha Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2020
Last updated Jan 6th, 2020 - about 4 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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