Tidwell, Consuela

Tidwell, Consuela is an individual health care provider with primary practice located at 607 Hammond Plz , Hopkinsville KY 42240-4971. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Tidwell, Consuela can be contacted via phone (270) 881-9551.

Contact Information

Primary practice address
607 Hammond Plz Hopkinsville KY 42240-4971
Phone: (270) 881-9551
Fax: (270) 885-5871
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1649783234
LBN Legal business name Tidwell, Consuela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2017
Last updated Nov 6th, 2017 - about 9 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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