Ogg, Tiffany Dawn

Ogg, Tiffany Dawn is an individual health care provider with primary practice located at 53 E Walworth Ave , Delavan WI 53115-1115. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ogg, Tiffany Dawn can be contacted via phone (262) 728-1428.

Contact Information

Primary practice address
53 E Walworth Ave Delavan WI 53115-1115
Phone: (262) 728-1428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X Wisconsin

Profile Details

NPI number 1104885078
LBN Legal business name Ogg, Tiffany Dawn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1104885078 NPPES
Wisconsin MEDICAID 38257900

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