Johnson, Tiffany Diane

Johnson, Tiffany Diane is an sole proprietor health care provider with primary practice located at 1406 E 82Nd St , Cleveland OH 44103-2944. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Johnson, Tiffany Diane can be contacted via phone (440) 650-9158.

Contact Information

Primary practice address
1406 E 82Nd St Cleveland OH 44103-2944
Phone: (440) 650-9158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1457751729
LBN Legal business name Johnson, Tiffany Diane
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2014
Last updated Oct 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457751729 NPPES
Ohio MEDICAID 1457751729

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