Wissman, Tiffany Lynn
Wissman, Tiffany Lynn is an individual health care provider with primary practice located at 8501 Old Troy Pike Ste 120 , Huber Heights OH 45424-1061. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wissman, Tiffany Lynn can be contacted via phone (937) 237-4945.Contact Information
Primary practice address
8501 Old Troy Pike Ste 120
Huber Heights OH 45424-1061
Phone: (937) 237-4945
Fax: (937) 237-4925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35120987 | Ohio |
Profile Details
| NPI number | 1811208259 |
|---|---|
| LBN Legal business name | Wissman, Tiffany Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2010 |
| Last updated | Oct 11th, 2023 - about 2 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 | 1811208259 | NPPES |
| Ohio | MEDICAID | 0082872 |
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