Ellis, Tiffany Renee'
Ellis, Tiffany Renee' is an individual health care provider with primary practice located at 1120 3Rd St , South Lake Tahoe CA 96150-3451. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ellis, Tiffany Renee' can be contacted via phone (530) 573-3386.Contact Information
Primary practice address
1120 3Rd St
South Lake Tahoe CA 96150-3451
Phone: (530) 573-3386
Fax: (530) 543-6697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1699964585 |
|---|---|
| LBN Legal business name | Ellis, Tiffany Renee' |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Oct 17th, 2007 - about 19 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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