Young, Tiffany
Young, Tiffany is an sole proprietor health care provider with primary practice located at 411 E Pearce Blvd , Wentzville MO 63385-1533. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Young, Tiffany can be contacted via phone (636) 281-8433.Contact Information
Primary practice address
411 E Pearce Blvd
Wentzville MO 63385-1533
Phone: (636) 281-8433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | 2004007868 | Missouri |
Profile Details
| NPI number | 1194336768 |
|---|---|
| LBN Legal business name | Young, Tiffany |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2020 |
| Last updated | Aug 16th, 2020 - about 5 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 | 1194336768 | NPPES |
| Missouri | Other | 2004007868 | SPECIALIST |
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