Tibeso Chirri Sr., TMA, CNA, PHILOB
Individual provider Active NPI Case Manager/Care Coordinator · Minneapolis, MN
NPI 1871983270 · NPPES record last updated Jan 29, 2015
Key facts
- NPI
- 1871983270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3222 Emerson Ave N
Minneapolis, MN 55412-2517 - Phone
- (763) 744-7615
- NPI assigned
- Jan 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Driver | 172A00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
3222 Emerson Ave N
Minneapolis, MN 55412-2517
Mailing address
3222 Emerson Ave N
Minneapolis, MN 55412-2517
Phone (763) 744-7615
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All providers in Minneapolis, MN · Case Manager/Care Coordinator in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.