Jackson, Tabisha

Jackson, Tabisha is an sole proprietor health care provider with primary practice located at 157 Church St Fl 19 , New Haven CT 06510-2100. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Jackson, Tabisha can be contacted via phone (203) 584-6033.

Contact Information

Primary practice address
157 Church St Fl 19 New Haven CT 06510-2100
Phone: (203) 584-6033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 21161Y05 Connecticut

Profile Details

NPI number 1619694684
LBN Legal business name Jackson, Tabisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2022
Last updated Oct 20th, 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.

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