Tackitt, Dane J

Tackitt, Dane J is an individual health care provider with primary practice located at 7338 Loncki St , Hill Afb UT 84056-7300. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Tackitt, Dane J can be contacted via phone (801) 777-4710.

Contact Information

Primary practice address
7338 Loncki St Hill Afb UT 84056-7300
Phone: (801) 777-4710
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1366672750
LBN Legal business name Tackitt, Dane J
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Jul 20th, 2009 - about 15 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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