Talton-Pattilla, Tina Laverne
Talton-Pattilla, Tina Laverne is an individual health care provider with primary practice located at 420 W 5Th Ave , Flint MI 48503-2445. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Talton-Pattilla, Tina Laverne can be contacted via phone (810) 496-5013.Contact Information
Primary practice address
420 W 5Th Ave
Flint MI 48503-2445
Phone: (810) 496-5013
Fax: (810) 257-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Michigan |
Profile Details
| NPI number | 1609506971 |
|---|---|
| LBN Legal business name | Talton-Pattilla, Tina Laverne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2022 |
| Last updated | Jun 10th, 2022 - 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 | 1609506971 | NPPES |
| Michigan | MEDICAID | 175T00000X |
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