NPI Profile for JOHN B TATUM in MANSFIELD, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Homemaker |
376J00000X | |||
In Home Supportive Care |
253Z00000X | |||
Lodging |
177F00000X | |||
Meals |
174200000X | |||
Personal Emergency Response Attendant |
146D00000X | |||
Private Vehicle |
347C00000X | |||
Religious Nonmedical Practitioner |
374K00000X |
| NPI # | 1174081095 |
|
| Status | Active | |
| Credentials | DD PHD | |
| Entity | Individual | |
| Enumeration date | 03/10/2019 | |
| Last updated | 03/10/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JOHN B TATUM
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