Tackett, Lorrie Lee
Tackett, Lorrie Lee is an sole proprietor health care provider with primary practice located at 1482 Maxwell Dr , Mansfield OH 44906-2376. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Tackett, Lorrie Lee can be contacted via phone (419) 565-6075.Contact Information
Primary practice address
1482 Maxwell Dr
Mansfield OH 44906-2376
Phone: (419) 565-6075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1891382750 |
|---|---|
| LBN Legal business name | Tackett, Lorrie Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2020 |
| Last updated | Feb 4th, 2021 - about 3 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 | 1891382750 | NPPES |
| Ohio | MEDICAID | 0251257 |
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