Williams, Tyisha J

Williams, Tyisha J is an sole proprietor health care provider with primary practice located at 2704 Volney Rd , Youngstown OH 44511. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Williams, Tyisha J can be contacted via phone (330) 639-5571.

Contact Information

Primary practice address
2704 Volney Rd Youngstown OH 44511
Phone: (330) 639-5571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Ohio
Nursing Service Related Providers / Home Health Aide 374U00000X 3653063 Ohio

Profile Details

NPI number 1437671856
LBN Legal business name Williams, Tyisha J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2017
Last updated Jul 21st, 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 1437671856 NPPES
Ohio MEDICAID 0145005

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