Micco, Tammy Lynn

Micco, Tammy Lynn is an sole proprietor health care provider with primary practice located at 4650 Hills And Dales Rd Nw , Canton OH 44708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Micco, Tammy Lynn can be contacted via phone (330) 649-9400.

Contact Information

Primary practice address
4650 Hills And Dales Rd Nw Canton OH 44708
Phone: (330) 649-9400
Fax: (330) 649-8059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 16567 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP16567 Ohio

Profile Details

NPI number 1265835102
LBN Legal business name Micco, Tammy Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2014
Last updated Oct 14th, 2019 - about 7 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 1265835102 NPPES
Ohio Other 16567 LICENSE NUMBER

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