Tackbary, Mary

Tackbary, Mary is an sole proprietor health care provider with primary practice located at 934 S Garfield Ave Ste A , Traverse City MI 49686-2402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tackbary, Mary can be contacted via phone (231) 935-0355.

Contact Information

Primary practice address
934 S Garfield Ave Ste A Traverse City MI 49686-2402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704106451 Michigan

Profile Details

NPI number 1588282784
LBN Legal business name Tackbary, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2020
Last updated Jan 20th, 2023 - about last year

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.

Request for update

Popular Providers