Wilson, Amber Tanisha
Wilson, Amber Tanisha is an individual health care provider with primary practice located at 7070 Tomahawk Trl , Reynoldsburg OH 43068-4806. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Wilson, Amber Tanisha can be contacted via phone (614) 517-9587.Contact Information
Primary practice address
7070 Tomahawk Trl
Reynoldsburg OH 43068-4806
Phone: (614) 517-9587
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | 5101-0701-0102-808 | Ohio |
Profile Details
| NPI number | 1023388923 |
|---|---|
| LBN Legal business name | Wilson, Amber Tanisha |
| Credentials | CPHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2012 |
| Last updated | Jan 9th, 2012 - about 14 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 | 1023388923 | NPPES |
| Ohio | MEDICAID | 45-2758598 |
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