Jackson, Tasheka L

Jackson, Tasheka L is an sole proprietor health care provider with primary practice located at 4204 E Mallory Ave , Memphis TN 38111-7819. She recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is her primary health care specialty. Jackson, Tasheka L can be contacted via phone (901) 649-0305.

Contact Information

Primary practice address
4204 E Mallory Ave Memphis TN 38111-7819
Phone: (901) 649-0305
Fax: (601) 340-9588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1457004863
LBN Legal business name Jackson, Tasheka L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2022
Last updated Jan 27th, 2022 - about 3 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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