Beresh, Tracy Anne
Beresh, Tracy Anne is an individual health care provider with primary practice located at 1206 N Main St Ste 123 , North Canton OH 44720-1926. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beresh, Tracy Anne can be contacted via phone (234) 200-5780.Contact Information
Primary practice address
1206 N Main St Ste 123
North Canton OH 44720-1926
Phone: (234) 200-5780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I0800199 | Ohio |
Profile Details
| NPI number | 1396005484 |
|---|---|
| LBN Legal business name | Beresh, Tracy Anne |
| Credentials | LISW-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2012 |
| Last updated | Oct 10th, 2023 - about last year |
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 | 1396005484 | NPPES |
| Ohio | MEDICAID | 0202744 |
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