Coghlan, Tabatha Irene

Coghlan, Tabatha Irene is an sole proprietor health care provider with primary practice located at 2119 Middle Ave , Elyria OH 44035-7878. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Coghlan, Tabatha Irene can be contacted via phone (440) 310-1352.

Contact Information

Primary practice address
2119 Middle Ave Elyria OH 44035-7878
Phone: (440) 310-1352
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 400263440703 Ohio

Profile Details

NPI number 1386885689
LBN Legal business name Coghlan, Tabatha Irene
Credentials S.T.N.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2009
Last updated Mar 16th, 2009 - about 17 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 1386885689 NPPES
Ohio MEDICAID 2862540

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