Thacker, Tawana
Thacker, Tawana is an sole proprietor health care provider with primary practice located at 31495 Garrett Ridge Rd , Mc Arthur OH 45651-8887. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Thacker, Tawana can be contacted via phone (740) 590-3139.Contact Information
Primary practice address
31495 Garrett Ridge Rd
Mc Arthur OH 45651-8887
Phone: (740) 590-3139
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | 8200637 | Ohio |
Profile Details
| NPI number | 1356886279 |
|---|---|
| LBN Legal business name | Thacker, Tawana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2017 |
| Last updated | Jan 2nd, 2017 - about 7 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 | 1356886279 | NPPES |
| Ohio | MEDICAID | 824009567205 |
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