Nichols, Tiffani Maria
Nichols, Tiffani Maria is an individual health care provider with primary practice located at 716 Spring St Suite 204, Wise VA 24293. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nichols, Tiffani Maria can be contacted via phone (276) 328-8910.Contact Information
Primary practice address
716 Spring St Suite 204
Wise VA 24293
Phone: (276) 328-8910
Fax: (276) 328-4318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0102202126 | Virginia |
Profile Details
| NPI number | 1760678106 |
|---|---|
| LBN Legal business name | Nichols, Tiffani Maria |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2007 |
| Last updated | Feb 22nd, 2017 - about 7 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 | 1760678106 | NPPES |
| Other | P00739464 | RR MEDICARE | |
| MEDICAID | 7100077080 | RR MEDICARE | |
| MEDICAID | 1760678106 | RR MEDICARE |
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