Tackie, Michelle Ann

Tackie, Michelle Ann is an sole proprietor health care provider with primary practice located at 75 Como Rd , Hyde Park MA 02136-1904. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Tackie, Michelle Ann can be contacted via phone (617) 953-5058.

Contact Information

Primary practice address
75 Como Rd Hyde Park MA 02136-1904
Phone: (617) 953-5058
Fax: (617) 364-7198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X S34977173 Massachusetts

Profile Details

NPI number 1962741165
LBN Legal business name Tackie, Michelle Ann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2013
Last updated Feb 7th, 2013 - 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.

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