Jackson, Latia Sade

Jackson, Latia Sade is an individual health care provider with primary practice located at 230 S Hewitt Rd Apt 204, Ypsilanti MI 48197-4487. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Jackson, Latia Sade can be contacted via phone (989) 746-4360.

Contact Information

Primary practice address
230 S Hewitt Rd Apt 204 Ypsilanti MI 48197-4487
Phone: (989) 746-4360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1205200680
LBN Legal business name Jackson, Latia Sade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2015
Last updated Nov 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205200680 NPPES
Michigan Other 247200000 TECHNICIAN

Popular Providers