Thacker, Kristen Leigh
Thacker, Kristen Leigh is an sole proprietor health care provider with primary practice located at 117 N 4Th St , Ironton OH 45638-1403. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Psychiatric/Mental Health, Adult, Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Thacker, Kristen Leigh can be contacted via phone (740) 237-4981.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDCIII.162430 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.174239 | Ohio |
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | RN.482139 | Ohio |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | CMS | |
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | RN.482139 | Ohio |
Profile Details
| NPI number | 1316536063 |
|---|---|
| LBN Legal business name | Thacker, Kristen Leigh |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2021 |
| Last updated | Nov 8th, 2022 - about 2 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 | 1316536063 | NPPES |
| Ohio | Other | RN.482139 | OHIO NURSING |
| Ohio | MEDICAID | 0430382 | OHIO NURSING |
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