Tackett, Barbara
Tackett, Barbara is an individual health care provider with primary practice located at 201 22Nd St , Ashland KY 41101-7803. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Tackett, Barbara can be contacted via phone (606) 324-1141.Contact Information
Primary practice address
201 22Nd St
Ashland KY 41101-7803
Phone: (606) 324-1141
Fax: (606) 235-8606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0910 | Kentucky |
Profile Details
| NPI number | 1790886828 |
|---|---|
| LBN Legal business name | Tackett, Barbara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Nov 10th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790886828 | NPPES |
| Kentucky | MEDICAID | 30610026 | |
| Kentucky | Other | 000000504334 |
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