Merchant, Tiffany Nicole

Merchant, Tiffany Nicole is an individual health care provider with primary practice located at 571 Braund St , Onalaska WI 54650-8556. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Merchant, Tiffany Nicole can be contacted via phone (608) 785-7000.

Contact Information

Primary practice address
571 Braund St Onalaska WI 54650-8556
Phone: (608) 785-7000
Fax: (608) 785-7477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3177-226 Wisconsin

Profile Details

NPI number 1497209464
LBN Legal business name Merchant, Tiffany Nicole
Credentials LPC-CIT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2016
Last updated Oct 11th, 2016 - about 8 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 1497209464 NPPES
Wisconsin MEDICAID 100059241

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