Mccoy, Tanja

Mccoy, Tanja is an individual health care provider with primary practice located at 1630 2 East Main Street , Louisville OH 44641. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mccoy, Tanja can be contacted via phone (216) 215-0919.

Contact Information

Primary practice address
1630 2 East Main Street Louisville OH 44641
Phone: (216) 215-0919
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN079519 Ohio

Profile Details

NPI number 1962570804
LBN Legal business name Mccoy, Tanja
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 9th, 2007 - about 17 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 1962570804 NPPES
Ohio MEDICAID 2239876

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