Jefferson, Moses Joshua

Jefferson, Moses Joshua is an individual health care provider with primary practice located at 297 Honeysuckle Ln , Tifton GA 31794-9179. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Jefferson, Moses Joshua can be contacted via phone (229) 206-2457.

Contact Information

Primary practice address
297 Honeysuckle Ln Tifton GA 31794-9179
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1366165763
LBN Legal business name Jefferson, Moses Joshua
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2022
Last updated Sep 21st, 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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