Tidzump, Delane

Tidzump, Delane is an individual health care provider with primary practice located at #7 Shipton Lane , Fort Washakie WY 82514-0538. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Tidzump, Delane can be contacted via phone (307) 335-1169.

Contact Information

Primary practice address
#7 Shipton Lane Fort Washakie WY 82514-0538
Phone: (307) 335-1169
Fax: (307) 335-1170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1568810315
LBN Legal business name Tidzump, Delane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2016
Last updated Jun 1st, 2016 - about 10 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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