Pittman, Tiffany

Pittman, Tiffany is an individual health care provider with primary practice located at 207 2Nd St W , Park Rapids MN 56470-1506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pittman, Tiffany can be contacted via phone (320) 500-2024.

Contact Information

Primary practice address
207 2Nd St W Park Rapids MN 56470-1506
Phone: (320) 500-2024
Fax: (320) 244-7958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1336641315
LBN Legal business name Pittman, Tiffany
Credentials DMSC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2018
Last updated Jun 27th, 2026 - about 4 months 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 1336641315 NPPES
Colorado MEDICAID 9000240457
Colorado MEDICAID 1336641315

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