Marinier, Tiffany Jean
Marinier, Tiffany Jean is an individual health care provider with primary practice located at 3111 Gundersen Dr , Onalaska WI 54650-8447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Marinier, Tiffany Jean can be contacted via phone (608) 775-8630.Contact Information
Primary practice address
3111 Gundersen Dr
Onalaska WI 54650-8447
Phone: (608) 775-8630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 102952 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036125948 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 60962 | Wisconsin |
Profile Details
| NPI number | 1144343161 |
|---|---|
| LBN Legal business name | Marinier, Tiffany Jean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Mar 24th, 2014 - about 10 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 | 1144343161 | NPPES |
| Illinois | MEDICAID | 036125948 | |
| Illinois | Other | P00897309 | |
| Illinois | Other | 487450009 |
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