Tierney, Letitia Elaine
Tierney, Letitia Elaine is an sole proprietor health care provider with primary practice located at 10 Courtney Dr , Charleston WV 25304-2699. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Tierney, Letitia Elaine can be contacted via phone (304) 344-2345.Contact Information
Primary practice address
10 Courtney Dr
Charleston WV 25304-2699
Phone: (304) 344-2345
Fax: (304) 400-4645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 23148 | West Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 23148 | West Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23148 | West Virginia |
Profile Details
| NPI number | 1679792493 |
|---|---|
| LBN Legal business name | Tierney, Letitia Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Aug 4th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679792493 | NPPES |
| West Virginia | MEDICAID | 1679792493 |
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