Tackett, Alice Rain

Tackett, Alice Rain is an sole proprietor health care provider with primary practice located at 55 W Waterloo Rd , Akron OH 44319-1116. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Tackett, Alice Rain can be contacted via phone (330) 724-7715.

Contact Information

Primary practice address
55 W Waterloo Rd Akron OH 44319-1116
Phone: (330) 724-7715
Fax: (216) 229-6048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN-114579MEDS Ohio

Profile Details

NPI number 1912617713
LBN Legal business name Tackett, Alice Rain
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2022
Last updated Dec 2nd, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912617713 NPPES
Ohio Other LPN-114579MEDS LPN

Popular Providers