Jackson, Lateasha C
Jackson, Lateasha C is an sole proprietor health care provider with primary practice located at 1110 N 47Th St , Kansas City KS 66102-1702. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Jackson, Lateasha C can be contacted via phone (913) 709-1122.Contact Information
Primary practice address
1110 N 47Th St
Kansas City KS 66102-1702
Phone: (913) 709-1122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X |
Profile Details
| NPI number | 1952766354 |
|---|---|
| LBN Legal business name | Jackson, Lateasha C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2015 |
| Last updated | Dec 29th, 2015 - about 9 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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