Grays-White, Tiffany Nicole

Grays-White, Tiffany Nicole is an sole proprietor health care provider with primary practice located at 4041 Okalona Rd , South Euclid OH 44121-2623. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Grays-White, Tiffany Nicole can be contacted via phone (216) 310-6438.

Contact Information

Primary practice address
4041 Okalona Rd South Euclid OH 44121-2623
Phone: (216) 310-6438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Ohio

Profile Details

NPI number 1851710198
LBN Legal business name Grays-White, Tiffany Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2014
Last updated Apr 15th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851710198 NPPES
Ohio MEDICAID 3747A0650X
Ohio MEDICAID 3747P1801X
Ohio MEDICAID 374U00000X

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