Ross, Tiara

Ross, Tiara is an individual health care provider with primary practice located at 620 S Laurel St , Pine Bluff AR 71601-4859. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Ross, Tiara can be contacted via phone (870) 534-4900.

Contact Information

Primary practice address
620 S Laurel St Pine Bluff AR 71601-4859
Phone: (870) 534-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1174078117
LBN Legal business name Ross, Tiara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2016
Last updated May 11th, 2023 - about 2 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 1174078117 NPPES
Nevada MEDICAID 464617191

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