Dickerson, Mytosha Monique
Dickerson, Mytosha Monique is an sole proprietor health care provider with primary practice located at 9082 Winding Lake Ave , Baton Rouge LA 70810-0367. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Dickerson, Mytosha Monique can be contacted via phone (504) 875-6174.Contact Information
Primary practice address
9082 Winding Lake Ave
Baton Rouge LA 70810-0367
Phone: (504) 875-6174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1023742707 |
|---|---|
| LBN Legal business name | Dickerson, Mytosha Monique |
| Credentials | CBS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2022 |
| Last updated | Apr 30th, 2024 - about 7 months 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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