Tackett, Dana M

Tackett, Dana M is an individual health care provider with primary practice located at 953 S South St , Wilmington OH 45177-2921. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tackett, Dana M can be contacted via phone (937) 383-4441.

Contact Information

Primary practice address
953 S South St Wilmington OH 45177-2921
Fax: (937) 383-2916
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1124474531
LBN Legal business name Tackett, Dana M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2016
Last updated Jun 30th, 2016 - about 8 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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