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:
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Health care specialties

SpecialtyCodeLicense #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 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 1225219538 NPPES
Michigan Other 1601000484 MI STATE LICENSE NUMBER

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