Derksen, Tiffany
Derksen, Tiffany is an sole proprietor health care provider with primary practice located at 7305 Grand River Rd Ste 300 , Brighton MI 48114-7378. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Derksen, Tiffany can be contacted via phone (734) 961-7196.Contact Information
Primary practice address
7305 Grand River Rd Ste 300
Brighton MI 48114-7378
Phone: (734) 961-7196
Fax: (734) 961-7187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301018112 | Michigan |
Profile Details
| NPI number | 1104477652 |
|---|---|
| LBN Legal business name | Derksen, Tiffany |
| Credentials | TLLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2019 |
| Last updated | Sep 26th, 2019 - about 7 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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