Smith, Tiffany Lorielle
Smith, Tiffany Lorielle is an individual health care provider with primary practice located at 310 Murphy Dr , Lexington NC 27295-2100. 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. Smith, Tiffany Lorielle can be contacted via phone (336) 224-1919.Contact Information
Primary practice address
310 Murphy Dr
Lexington NC 27295-2100
Phone: (336) 224-1919
Fax: (336) 224-1921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1366073223 |
|---|---|
| LBN Legal business name | Smith, Tiffany Lorielle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2020 |
| Last updated | Jan 30th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366073223 | NPPES |
| North Carolina | MEDICAID | 1639592900 |
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