Raven, Tiffany
Raven, Tiffany is an individual health care provider with primary practice located at 2500 Hall Ave Ste A , Marinette WI 54143-1656. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Raven, Tiffany can be contacted via phone (715) 732-7700.Contact Information
Primary practice address
2500 Hall Ave Ste A
Marinette WI 54143-1656
Phone: (715) 732-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1174035232 |
|---|---|
| LBN Legal business name | Raven, Tiffany |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2017 |
| Last updated | Oct 30th, 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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