Justice, Tiffany Deborah

Justice, Tiffany Deborah is an individual health care provider with primary practice located at 4123 Dutchmans Lane Suite 414, Louisville KY 40207-4733. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Reproductive Endocrinology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Justice, Tiffany Deborah can be contacted via phone (502) 897-2144.

Contact Information

Primary practice address
4123 Dutchmans Lane Suite 414 Louisville KY 40207-4733
Phone: (502) 897-2144
Fax: (502) 897-1773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 43562 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 43562 Kentucky

Profile Details

NPI number 1447393046
LBN Legal business name Justice, Tiffany Deborah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jun 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447393046 NPPES
Indiana MEDICAID 200983310
Indiana Other 000000665986
Indiana Other 000000665914
Indiana Other 50029221
Indiana Other 50029222
Indiana Other 50029224
Indiana MEDICAID 7100126700

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