Lautenslager, Tiffani Jordan
Lautenslager, Tiffani Jordan is an individual health care provider with primary practice located at 521 E Mountain View Ave , Ellensburg WA 98926-3865. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Lautenslager, Tiffani Jordan can be contacted via phone (509) 962-1414.Contact Information
Primary practice address
521 E Mountain View Ave
Ellensburg WA 98926-3865
Phone: (509) 962-1414
Fax: (509) 452-5224
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ML30105643 | Washington |
Profile Details
NPI number | 1225725237 |
---|---|
LBN Legal business name | Lautenslager, Tiffani Jordan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2023 |
Last updated | Oct 24th, 2023 - about 2 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 | 1225725237 | NPPES |
Washington | MEDICAID | 2255356 |
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