Tyce, Tasha Marie
Tyce, Tasha Marie is an sole proprietor health care provider with primary practice located at 1218 N Adams St , South Bend IN 46628-3021. She recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as her primary health care specialty. Tyce, Tasha Marie can be contacted via phone (574) 217-6214.Contact Information
Primary practice address
1218 N Adams St
South Bend IN 46628-3021
Phone: (574) 217-6214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 71656 | Indiana |
Profile Details
| NPI number | 1881218469 |
|---|---|
| LBN Legal business name | Tyce, Tasha Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2020 |
| Last updated | May 30th, 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 | 1881218469 | NPPES |
| Indiana | MEDICAID | 30037597 |
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