Tidmore, Danielle Nicole
Tidmore, Danielle Nicole is an individual health care provider with primary practice located at 527 Tuskegee Airmen Avenue , Sheppard Air Force Base TX 76311-6437. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tidmore, Danielle Nicole can be contacted via phone (405) 940-6075.Contact Information
Primary practice address
527 Tuskegee Airmen Avenue
Sheppard Air Force Base TX 76311-6437
Phone: (405) 940-6075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 120849 | Iowa |
Profile Details
| NPI number | 1417508870 |
|---|---|
| LBN Legal business name | Tidmore, Danielle Nicole |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2019 |
| Last updated | Sep 20th, 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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