Tabaczka, Frank Edward
Tabaczka, Frank Edward is an sole proprietor health care provider with primary practice located at 1095 3Rd St , Muskegon MI 49441-1976. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Tabaczka, Frank Edward can be contacted via phone (231) 726-4735.Contact Information
Primary practice address
1095 3Rd St
Muskegon MI 49441-1976
Phone: (231) 726-4735
Fax: (231) 722-0789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | L1351419 | Michigan |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | L1351419 | Michigan |
Profile Details
| NPI number | 1902041155 |
|---|---|
| LBN Legal business name | Tabaczka, Frank Edward |
| Credentials | LLPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2008 |
| Last updated | Dec 2nd, 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 | 1902041155 | NPPES |
| Michigan | MEDICAID | 1712452 |
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