King, Tashanda
King, Tashanda is an sole proprietor health care provider with primary practice located at 3526 Melody Dr , Augusta GA 30906-9533. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. King, Tashanda can be contacted via phone (478) 268-1894.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1053913475 |
|---|---|
| LBN Legal business name | King, Tashanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2020 |
| Last updated | Nov 10th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053913475 | NPPES |
| Other | 76806914 | ADULT |
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