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Contact Information

TINA M ANDERSON, LPN
2631 MOUNT PLEASANT ST NE
CANTON, OH44721-1546
 Phone: 330-232-5277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for TINA M ANDERSON · (Female)

NPI # 1669777363
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 01/11/2011
Last updated 01/11/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # PN.110987
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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