Liu, Tiantian

Liu, Tiantian is an individual health care provider with primary practice located at 175 Scott Swamp Rd , Farmington CT 06032-3124. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Liu, Tiantian can be contacted via phone (860) 751-6265.

Contact Information

Primary practice address
175 Scott Swamp Rd Farmington CT 06032-3124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1477181113
LBN Legal business name Liu, Tiantian
Credentials Bachelor of Science in Public Health (BSPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2020
Last updated Mar 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477181113 NPPES
Connecticut MEDICAID 1811520810

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