Provider Demographics
NPI:1427819176
Name:TATE, HAROLD G II
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:G
Last Name:TATE
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 W 130TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-3315
Mailing Address - Country:US
Mailing Address - Phone:216-214-6279
Mailing Address - Fax:216-214-6279
Practice Address - Street 1:3711 W 130TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-3315
Practice Address - Country:US
Practice Address - Phone:216-214-6278
Practice Address - Fax:216-214-6279
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker