Tax, Michael Kenneth

Tax, Michael Kenneth is an sole proprietor health care provider with primary practice located at 125 Oakland Ave Ste 204 , Port Jefferson NY 11777-2130. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Tax, Michael Kenneth can be contacted via phone (631) 686-1414.

Contact Information

Primary practice address
125 Oakland Ave Ste 204 Port Jefferson NY 11777-2130
Phone: (631) 686-1414
Fax: (631) 686-1462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 262016-1 New York

Profile Details

NPI number 1790244317
LBN Legal business name Tax, Michael Kenneth
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2019
Last updated Mar 13th, 2019 - about 5 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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