Broadway, Jeanetta Marie

Broadway, Jeanetta Marie is an individual health care provider with primary practice located at 4014 Autumn Springs Cv , Memphis TN 38125-2647. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Broadway, Jeanetta Marie can be contacted via phone (901) 279-5289.

Contact Information

Primary practice address
4014 Autumn Springs Cv Memphis TN 38125-2647
Phone: (901) 279-5289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1295136224
LBN Legal business name Broadway, Jeanetta Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2014
Last updated Sep 9th, 2014 - about 10 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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