Godbolt, Tanisha

Godbolt, Tanisha is an sole proprietor health care provider with primary practice located at 9147 Moss Cove Ct , Charlotte NC 28227-8703. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Godbolt, Tanisha can be contacted via phone (832) 794-7264.

Contact Information

Primary practice address
9147 Moss Cove Ct Charlotte NC 28227-8703
Phone: (832) 794-7264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 054857 Connecticut

Profile Details

NPI number 1740871755
LBN Legal business name Godbolt, Tanisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2021
Last updated May 19th, 2022 - about 2 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.

Request for update

Popular Providers