Mccandless, Tiffany D

Mccandless, Tiffany D is an individual health care provider with primary practice located at 800 W 9Th St , Jasper IN 47546-2514. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Mccandless, Tiffany D can be contacted via phone (812) 482-2345.

Contact Information

Primary practice address
800 W 9Th St Jasper IN 47546-2514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002100 Indiana

Profile Details

NPI number 1912013681
LBN Legal business name Mccandless, Tiffany D
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Mar 16th, 2011 - about 15 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 1912013681 NPPES
Indiana MEDICAID 200137100A

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