Tackitt, Brian L

Tackitt, Brian L is an sole proprietor health care provider with primary practice located at 401 E Spruce St , Garden City KS 67846-5679. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Tackitt, Brian L can be contacted via phone (620) 272-2610.

Contact Information

Primary practice address
401 E Spruce St Garden City KS 67846-5679
Phone: (620) 272-2610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55672 Kansas

Profile Details

NPI number 1518119049
LBN Legal business name Tackitt, Brian L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2008
Last updated Nov 1st, 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.

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