Wilson, Tiffany S
Wilson, Tiffany S is an sole proprietor health care provider with primary practice located at 24 S Weber St Ste 200 , Colorado Springs CO 80903-1928. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as her primary health care specialty. Wilson, Tiffany S can be contacted via phone (866) 226-8576.Contact Information
Primary practice address
24 S Weber St Ste 200
Colorado Springs CO 80903-1928
Phone: (866) 226-8576
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X | California |
Profile Details
| NPI number | 1013686930 |
|---|---|
| LBN Legal business name | Wilson, Tiffany S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2021 |
| Last updated | Sep 13th, 2021 - about 5 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 | 1013686930 | NPPES |
| Colorado | MEDICAID | 26-2707834 |
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