Tkacheva, Irina

Tkacheva, Irina is an sole proprietor health care provider with primary practice located at 3350 Ne 192Nd St # 2M-B , Aventura FL 33180-2461. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Tkacheva, Irina can be contacted via phone (347) 217-5872.

Contact Information

Primary practice address
3350 Ne 192Nd St # 2M-B Aventura FL 33180-2461
Phone: (347) 217-5872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1126347171 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 1342744 Florida

Profile Details

NPI number 1124556030
LBN Legal business name Tkacheva, Irina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2017
Last updated Jan 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124556030 NPPES
Florida Other T221-400-81-567-0 ITDS

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