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
Phone: (231) 935-0355
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
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