Brainard, Tabitha
Brainard, Tabitha is an sole proprietor health care provider with primary practice located at 1146 Adelaide Ave Se , Warren OH 44484-4305. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Brainard, Tabitha can be contacted via phone (440) 855-7193.Contact Information
Primary practice address
1146 Adelaide Ave Se
Warren OH 44484-4305
Phone: (440) 855-7193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 0130651 | Ohio |
Profile Details
| NPI number | 1043694698 |
|---|---|
| LBN Legal business name | Brainard, Tabitha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2015 |
| Last updated | Jul 14th, 2015 - about 9 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 | 1043694698 | NPPES |
| Ohio | MEDICAID | 135568 |
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