Tacke, Annette Allison

Tacke, Annette Allison is an sole proprietor health care provider with primary practice located at 115 Kirkland Rd , Longview WA 98632-0701. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Tacke, Annette Allison can be contacted via phone (253) 653-0042.

Contact Information

Primary practice address
115 Kirkland Rd Longview WA 98632-0701
Phone: (253) 653-0042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH00007476 Washington

Profile Details

NPI number 1407192073
LBN Legal business name Tacke, Annette Allison
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2012
Last updated Dec 29th, 2012 - about 13 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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