Tack, Heather

Tack, Heather is an sole proprietor health care provider with primary practice located at 15474 Haggerty Rd , Northville MI 48170-0844. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tack, Heather can be contacted via phone (248) 615-0889.

Contact Information

Primary practice address
15474 Haggerty Rd Northville MI 48170-0844
Phone: (248) 615-0889
Fax: (734) 404-5317
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704222690 Michigan

Profile Details

NPI number 1023301595
LBN Legal business name Tack, Heather
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2011
Last updated Apr 19th, 2013 - about 11 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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