Wolfe, Susan Tipton
Wolfe, Susan Tipton is an sole proprietor health care provider with primary practice located at 19 Laurelwood Cv , Jackson TN 38305-8559. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wolfe, Susan Tipton can be contacted via phone (731) 660-8516.Contact Information
Primary practice address
19 Laurelwood Cv
Jackson TN 38305-8559
Phone: (731) 660-8516
Fax: (731) 660-8516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0000000367 | Tennessee |
Profile Details
| NPI number | 1144347931 |
|---|---|
| LBN Legal business name | Wolfe, Susan Tipton |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2007 |
| Last updated | May 19th, 2010 - about 16 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 | 1144347931 | NPPES |
| Tennessee | Other | 091027 | VALUEOPTIONS |
| Tennessee | Other | 2008640 | VALUEOPTIONS |
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