Wise, Kimberly Tai

Wise, Kimberly Tai is an sole proprietor health care provider with primary practice located at 966 Cleveland St , Lebanon OR 97355-4422. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Wise, Kimberly Tai can be contacted via phone (541) 401-1667.

Contact Information

Primary practice address
966 Cleveland St Lebanon OR 97355-4422
Phone: (541) 401-1667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X

Profile Details

NPI number 1134411788
LBN Legal business name Wise, Kimberly Tai
Credentials DEM
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2011
Last updated May 13th, 2011 - about 14 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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