Negley-Tackett, Candice
Negley-Tackett, Candice is an sole proprietor health care provider with primary practice located at 1111 W Centre Ave , Portage MI 49024-5317. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Negley-Tackett, Candice can be contacted via phone (269) 324-0301.Contact Information
Primary practice address
1111 W Centre Ave
Portage MI 49024-5317
Phone: (269) 324-0301
Fax: (269) 324-2387
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 1601000484 | Michigan |
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 1601000484 | Michigan |
Profile Details
NPI number | 1225219538 |
---|---|
LBN Legal business name | Negley-Tackett, Candice |
Credentials | AU.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 15th, 2007 |
Last updated | Mar 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225219538 | NPPES |
Michigan | Other | 1601000484 | MI STATE LICENSE NUMBER |
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