Wilkes, Talisa Lachelle

Wilkes, Talisa Lachelle is an sole proprietor health care provider with primary practice located at 1008 Lake Dr , Medford NY 11763-4618. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wilkes, Talisa Lachelle can be contacted via phone (631) 647-2645.

Contact Information

Primary practice address
1008 Lake Dr Medford NY 11763-4618
Phone: (631) 647-2645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 634239-1 New York

Profile Details

NPI number 1689977555
LBN Legal business name Wilkes, Talisa Lachelle
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2010
Last updated Dec 14th, 2010 - about 14 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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