Wilson, Tiffany Marie

Wilson, Tiffany Marie is an sole proprietor health care provider with primary practice located at 22003 66Th Ave W # M5 , Mountlake Terrace WA 98043. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Midwife, Lay, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Wilson, Tiffany Marie can be contacted via phone (425) 321-0339.

Contact Information

Primary practice address
22003 66Th Ave W # M5 Mountlake Terrace WA 98043
Phone: (425) 321-0339
Fax: (425) 332-7208
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 602996357 Washington
Other Service Providers / Midwife, Lay 175M00000X
Other Service Providers / Midwife 176B00000X 60829254 Washington

Profile Details

NPI number 1366748345
LBN Legal business name Wilson, Tiffany Marie
Credentials LM, CPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2011
Last updated Jul 10th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366748345 NPPES
Washington MEDICAID 60829254

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