Valenitn Tate, Tyequaan Leroy

Valenitn Tate, Tyequaan Leroy is an individual health care provider with primary practice located at 45 U.S. 11 , Shamokin Dam PA 17876. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Valenitn Tate, Tyequaan Leroy can be contacted via phone (570) 802-3099.

Contact Information

Primary practice address
45 U.S. 11 Shamokin Dam PA 17876
Fax:
Website:

Health care specialties

Profile Details

NPI number 1891366910
LBN Legal business name Valenitn Tate, Tyequaan Leroy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2021
Last updated Jul 9th, 2021 - 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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