Tackett, Peggy Jo
Tackett, Peggy Jo is an sole proprietor health care provider with primary practice located at 4 Terrace Drive , Ashland OH 44805. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Tackett, Peggy Jo can be contacted via phone (419) 496-2126.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 2509673 | Ohio |
Profile Details
| NPI number | 1760603732 |
|---|---|
| LBN Legal business name | Tackett, Peggy Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1760603732 | NPPES |
| Ohio | MEDICAID | 2509673 |
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