Anderson, Takiyah M

Anderson, Takiyah M is an sole proprietor health care provider with primary practice located at 86 Chandler St , Rochester NY 14619-2012. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Anderson, Takiyah M can be contacted via phone (585) 363-0294.

Contact Information

Primary practice address
86 Chandler St Rochester NY 14619-2012
Phone: (585) 363-0294
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 327271 New York

Profile Details

NPI number 1053853127
LBN Legal business name Anderson, Takiyah M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2016
Last updated Nov 7th, 2016 - about 8 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 1053853127 NPPES
New York MEDICAID 327271

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