Alcorn, Tisha

Alcorn, Tisha is an individual health care provider with primary practice located at 327 Canova Ln. , Dayton OH 45431. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Alcorn, Tisha can be contacted via phone (937) 559-4260.

Contact Information

Primary practice address
327 Canova Ln. Dayton OH 45431
Phone: (937) 559-4260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1770987711
LBN Legal business name Alcorn, Tisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2014
Last updated Oct 20th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770987711 NPPES
Ohio MEDICAID 3097107

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