Smith, Tizita
Smith, Tizita is an sole proprietor health care provider with primary practice located at 915 S Baltimore St , Kirksville MO 63501-4027. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Smith, Tizita can be contacted via phone (660) 956-9156.Contact Information
Primary practice address
915 S Baltimore St
Kirksville MO 63501-4027
Phone: (660) 956-9156
Fax: (660) 956-9151
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 2021045038 | Missouri |
Profile Details
| NPI number | 1598416661 |
|---|---|
| LBN Legal business name | Smith, Tizita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2022 |
| Last updated | Jan 11th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598416661 | NPPES |
| Other | 1710498019 | HEARKEN HEARING & AUDIOLOGY |
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