Provider Demographics
NPI:1255878872
Name:TANK PSYCHIATRIC STAFFING INC.
Entity type:Organization
Organization Name:TANK PSYCHIATRIC STAFFING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:DR
Authorized Official - First Name:KUNAL
Authorized Official - Middle Name:
Authorized Official - Last Name:TANK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-353-6062
Mailing Address - Street 1:6142 RISING SUN DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8883
Mailing Address - Country:US
Mailing Address - Phone:215-353-6062
Mailing Address - Fax:530-459-4759
Practice Address - Street 1:6142 RISING SUN DR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8883
Practice Address - Country:US
Practice Address - Phone:215-353-6062
Practice Address - Fax:530-459-4759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-1227052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty