Jefferson, Runnie Dewayne

Jefferson, Runnie Dewayne is an sole proprietor health care provider with primary practice located at 996 Palmer Rd , Memphis TN 38116-7724. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jefferson, Runnie Dewayne can be contacted via phone (980) 133-2040.

Contact Information

Primary practice address
996 Palmer Rd Memphis TN 38116-7724
Phone: (980) 133-2040
Fax: (901) 332-0402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 52362989 Tennessee

Profile Details

NPI number 1225366487
LBN Legal business name Jefferson, Runnie Dewayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2009
Last updated Nov 30th, 2009 - about 15 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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