Tibbs, Carmen Lynnette
Tibbs, Carmen Lynnette is an sole proprietor health care provider with primary practice located at 65 W 152Nd Pl Rear House, South Holland IL 60473-1002. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Tibbs, Carmen Lynnette can be contacted via phone (708) 539-1565.Contact Information
Primary practice address
65 W 152Nd Pl Rear House
South Holland IL 60473-1002
Phone: (708) 539-1565
Fax: (708) 746-4389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | CT32520898P | Illinois |
Profile Details
| NPI number | 1639371222 |
|---|---|
| LBN Legal business name | Tibbs, Carmen Lynnette |
| Credentials | M.ED., CDS, DT, SLPA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1639371222 | NPPES |
| Illinois | Other | CT32520898P | PART C EI CREDENTIAL |
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