Watts, Tiwona
Watts, Tiwona is an sole proprietor health care provider with primary practice located at 238 Adley Way Ste D , Greenville SC 29607-6511. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Watts, Tiwona can be contacted via phone (864) 706-6933.Contact Information
Primary practice address
238 Adley Way Ste D
Greenville SC 29607-6511
Phone: (864) 706-6933
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Home Health | 251E00000X | IHCP-1710 | South Carolina |
Profile Details
NPI number | 1093459323 |
---|---|
LBN Legal business name | Watts, Tiwona |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 22nd, 2022 |
Last updated | Apr 22nd, 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 | 1093459323 | NPPES |
South Carolina | MEDICAID | 05172014 |
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