Tadlock, Kimberly S
Tadlock, Kimberly S is an sole proprietor health care provider with primary practice located at 2980 Suck Run Rd , Manchester OH 45144-8121. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Tadlock, Kimberly S can be contacted via phone (937) 549-4345.Contact Information
Primary practice address
2980 Suck Run Rd
Manchester OH 45144-8121
Phone: (937) 549-4345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 2852131 | Ohio |
Profile Details
| NPI number | 1669607271 |
|---|---|
| LBN Legal business name | Tadlock, Kimberly S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2009 |
| Last updated | May 27th, 2009 - about 16 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 | 1669607271 | NPPES |
| Ohio | MEDICAID | 2852131 |
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