Lisk, Tracy A

Lisk, Tracy A is an sole proprietor health care provider with primary practice located at 1248 Mcgregor Ave Nw , Canton OH 44703-2153. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Lisk, Tracy A can be contacted via phone (330) 933-2174.

Contact Information

Primary practice address
1248 Mcgregor Ave Nw Canton OH 44703-2153
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Ohio

Profile Details

NPI number 1649439886
LBN Legal business name Lisk, Tracy A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2008
Last updated Jun 12th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649439886 NPPES
Ohio MEDICAID 2395028

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