O'Donnell, Tiffany Ray
O'Donnell, Tiffany Ray is an sole proprietor health care provider with primary practice located at 1800 Mulberry St , Scranton PA 18510-2369. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. O'Donnell, Tiffany Ray can be contacted via phone (570) 703-8000.Contact Information
Primary practice address
1800 Mulberry St
Scranton PA 18510-2369
Phone: (570) 703-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | Pennsylvania |
Profile Details
| NPI number | 1215456165 |
|---|---|
| LBN Legal business name | O'Donnell, Tiffany Ray |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2017 |
| Last updated | Sep 12th, 2017 - 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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