Irby, Tamika

Irby, Tamika is an sole proprietor health care provider with primary practice located at 4204 Pointers Trl , Chesapeake VA 23321-3245. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Irby, Tamika can be contacted via phone (757) 839-6956.

Contact Information

Primary practice address
4204 Pointers Trl Chesapeake VA 23321-3245
Phone: (757) 839-6956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 3530 Virginia
Agencies / Day Training, Developmentally Disabled Services 251C00000X 3530 Virginia

Profile Details

NPI number 1265171474
LBN Legal business name Irby, Tamika
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2022
Last updated Jul 11th, 2022 - about 3 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 1265171474 NPPES
Virginia MEDICAID 83-1305799

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