Wallace, Tiffany

Wallace, Tiffany is an sole proprietor health care provider with primary practice located at 1501 5Th Ave N , St Petersburg FL 33705-2008. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Wallace, Tiffany can be contacted via phone (727) 896-8686.

Contact Information

Primary practice address
1501 5Th Ave N St Petersburg FL 33705-2008
Phone: (727) 896-8686
Fax: (727) 898-9596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1972901825
LBN Legal business name Wallace, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2014
Last updated Dec 9th, 2014 - about 11 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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