Beasley, Katish Tana
Beasley, Katish Tana is an sole proprietor health care provider with primary practice located at 221 Fieldstone Dr Apt 3 , Trotwood OH 45426-6817. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Beasley, Katish Tana can be contacted via phone (937) 270-0078.Contact Information
Primary practice address
221 Fieldstone Dr Apt 3
Trotwood OH 45426-6817
Phone: (937) 270-0078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X |
Profile Details
| NPI number | 1346640745 |
|---|---|
| LBN Legal business name | Beasley, Katish Tana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2014 |
| Last updated | Sep 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346640745 | NPPES |
| Ohio | Other | 0063557 | PROVIDER NUMBER |
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