Tiberian, Lara Jennifer
Tiberian, Lara Jennifer is an sole proprietor health care provider with primary practice located at 2108 Short Grass Ct , Mount Pleasant SC 29466-8161. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Tiberian, Lara Jennifer can be contacted via phone (843) 343-1654.Contact Information
Primary practice address
2108 Short Grass Ct
Mount Pleasant SC 29466-8161
Phone: (843) 343-1654
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4236 | South Carolina |
Profile Details
| NPI number | 1124364799 |
|---|---|
| LBN Legal business name | Tiberian, Lara Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2012 |
| Last updated | Jul 11th, 2016 - about 8 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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