Thomas, Tiffany Dominique

Thomas, Tiffany Dominique is an sole proprietor health care provider with primary practice located at 1217 Us Highway 41 , Schererville IN 46375-1311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thomas, Tiffany Dominique can be contacted via phone (219) 765-6545.

Contact Information

Primary practice address
1217 Us Highway 41 Schererville IN 46375-1311
Fax: (219) 227-8920
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209012017 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005138A Indiana

Profile Details

NPI number 1871992966
LBN Legal business name Thomas, Tiffany Dominique
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2014
Last updated Feb 11th, 2015 - 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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