Edwards, Tiffany Gae
Edwards, Tiffany Gae is an individual health care provider with primary practice located at 6308 Allemong Dr , Matteson IL 60443-1097. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Edwards, Tiffany Gae can be contacted via phone (773) 937-3510.Contact Information
Primary practice address
6308 Allemong Dr
Matteson IL 60443-1097
Phone: (773) 937-3510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 125.081717 | Illinois |
Profile Details
| NPI number | 1790479806 |
|---|---|
| LBN Legal business name | Edwards, Tiffany Gae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2023 |
| Last updated | Jun 5th, 2023 - about 3 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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