Ali, Khatidja S

Ali, Khatidja S is an individual health care provider with primary practice located at 1030 Jefferson Ave , Memphis TN 38104. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Ali, Khatidja S can be contacted via phone (901) 523-8990.

Contact Information

Primary practice address
1030 Jefferson Ave Memphis TN 38104
Phone: (901) 523-8990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X P0000003082 Tennessee

Profile Details

NPI number 1700123239
LBN Legal business name Ali, Khatidja S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2013
Last updated Jan 3rd, 2013 - about 12 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.

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