Thomas, Tisharah Antionette

Thomas, Tisharah Antionette is an individual health care provider with primary practice located at 4238 Wilmington Rd , South Euclid OH 44121-3139. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Thomas, Tisharah Antionette can be contacted via phone (216) 313-2035.

Contact Information

Primary practice address
4238 Wilmington Rd South Euclid OH 44121-3139
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Ohio

Profile Details

NPI number 1730836453
LBN Legal business name Thomas, Tisharah Antionette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2022
Last updated Mar 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730836453 NPPES
Rhode Island MEDICAID RT000595

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