Luckett, Dairita
Luckett, Dairita is an sole proprietor health care provider with primary practice located at 1586 Northridge Rd , Columbus OH 43224-2801. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Luckett, Dairita can be contacted via phone (614) 270-3741.Contact Information
Primary practice address
1586 Northridge Rd
Columbus OH 43224-2801
Phone: (614) 270-3741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1588031926 |
|---|---|
| LBN Legal business name | Luckett, Dairita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2015 |
| Last updated | Sep 1st, 2015 - about 11 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 | 1588031926 | NPPES |
| Ohio | MEDICAID | 0090104 |
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