Kersten, Tabitha R

Kersten, Tabitha R is an individual health care provider with primary practice located at 511 Perry St , Defiance OH 43512-2123. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Kersten, Tabitha R can be contacted via phone (419) 782-9920.

Contact Information

Primary practice address
511 Perry St Defiance OH 43512-2123
Phone: (419) 782-9920
Fax: (419) 784-2523
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1802301 Ohio

Profile Details

NPI number 1720594963
LBN Legal business name Kersten, Tabitha R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2017
Last updated Jun 15th, 2023 - about 2 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 1720594963 NPPES
Ohio Other 164318 LICENSE
Ohio Other S.1802301 LICENSE

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