Crochet, Tiffani Marie

Crochet, Tiffani Marie is an individual health care provider with primary practice located at 200 Beatty St , Medford OR 97501-5811. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Crochet, Tiffani Marie can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
200 Beatty St Medford OR 97501-5811
Phone: (541) 476-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1205205705
LBN Legal business name Crochet, Tiffani Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2015
Last updated Nov 22nd, 2022 - about 4 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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