Clark, Tanaya Danielle
Clark, Tanaya Danielle is an sole proprietor health care provider with primary practice located at 1621 Miami Ct Ne , Canton OH 44714-2343. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Clark, Tanaya Danielle can be contacted via phone (330) 454-5422.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1093921033 |
|---|---|
| LBN Legal business name | Clark, Tanaya Danielle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2007 |
| Last updated | Jul 10th, 2009 - about 16 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 | 1093921033 | NPPES |
| Ohio | MEDICAID | 2695687 |
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