Dickerson, Tiawana E
Dickerson, Tiawana E is an individual health care provider with primary practice located at 1007 Koala Dr , Omak WA 98841-9247. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Dickerson, Tiawana E can be contacted via phone (509) 826-6191.Contact Information
Primary practice address
1007 Koala Dr
Omak WA 98841-9247
Phone: (509) 826-6191
Fax: (509) 826-3029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1003585308 |
|---|---|
| LBN Legal business name | Dickerson, Tiawana E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2021 |
| Last updated | Sep 9th, 2021 - 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.
Popular Providers
-
Remick, Jerome H
118 E 8Th St , Port Angeles WA 98362-6129 -
Sutton, Emma Diane
1007 Koala Dr , Omak WA 98841-9247 -
Stclair, Christina Jean
1007 Koala Dr , Omak WA 98841-9247 -
Jameson, Jaima Rose
1007 Koala Dr , Omak WA 98841-9247 -
Sena, Karissa Richelle
1009 Koala Dr , Omak WA 98841-9247 -
Sena, Sterlene Lucille
1007 Koala Dr , Omak WA 98841-9247 -
White, Brian Tyrell
1007 Koala Dr , Omak WA 98841-9247 -
Hill-Alton, Alison Alexandra
1007 Koala Dr , Omak WA 98841-9247