Reynolds, Tiffany

Reynolds, Tiffany is an individual health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Reynolds, Tiffany can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1831614007
LBN Legal business name Reynolds, Tiffany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2017
Last updated Aug 9th, 2017 - about 9 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 1831614007 NPPES
Utah Other 260022408 RAILROAD MEDICARE
Utah MEDICAID 876000308007 RAILROAD MEDICARE

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