Hackworth, Sharon

Hackworth, Sharon is an sole proprietor health care provider with primary practice located at 3425 Windy Hollow Cir , Memphis TN 38118-4002. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Hackworth, Sharon can be contacted via phone (901) 608-0380.

Contact Information

Primary practice address
3425 Windy Hollow Cir Memphis TN 38118-4002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X Tennessee

Profile Details

NPI number 1306383302
LBN Legal business name Hackworth, Sharon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2017
Last updated May 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306383302 NPPES
Tennessee MEDICAID 1306383302

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