Tatashadze, Eleonora
Tatashadze, Eleonora is an sole proprietor health care provider with primary practice located at 6613 Finegan Dr , Dayton OH 45424-7112. She recently has only one registered license in Other Service Providers / Home Modifications, which is considered as her primary health care specialty. Tatashadze, Eleonora can be contacted via phone (860) 726-6200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | 0000493 | Connecticut |
| Other Service Providers / Home Modifications | 171WH0202X | 4203630 | Ohio |
Profile Details
| NPI number | 1639460371 |
|---|---|
| LBN Legal business name | Tatashadze, Eleonora |
| Credentials | PROVIDER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2011 |
| Last updated | Dec 24th, 2020 - about 4 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 | 1639460371 | NPPES |
| Ohio | Other | 4203630 | STATE OF OHIO CERTIFICATE |
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