Johnson, Tiffany
Johnson, Tiffany is an individual health care provider with primary practice located at 2222 E 5Th St , Superior WI 54880-3709. 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. Johnson, Tiffany can be contacted via phone (715) 392-1955.Contact Information
Primary practice address
2222 E 5Th St
Superior WI 54880-3709
Phone: (715) 392-1955
Fax: (715) 392-1935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 17142-32 | Wisconsin |
Profile Details
| NPI number | 1245842046 |
|---|---|
| LBN Legal business name | Johnson, Tiffany |
| Credentials | C-SAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2020 |
| Last updated | Jun 14th, 2024 - about 2 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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