Jackson, Tia Dawn
Jackson, Tia Dawn is an individual health care provider with primary practice located at 9499 N Charleston Blvd Suite 250, Las Vegas NV 89117. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Jackson, Tia Dawn can be contacted via phone (702) 933-3600.Contact Information
Primary practice address
9499 N Charleston Blvd Suite 250
Las Vegas NV 89117
Phone: (702) 933-3600
Fax: (702) 933-3601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | 94232 | Nevada |
Profile Details
| NPI number | 1740473222 |
|---|---|
| LBN Legal business name | Jackson, Tia Dawn |
| Credentials | Certified Surgical Technologist (CST) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Aug 20th, 2007 - about 17 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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