Kingcannon, Tia

Kingcannon, Tia is an sole proprietor health care provider with primary practice located at 3662 W Camp Wisdom Rd , Dallas TX 75237-2500. She recently has only one registered license in Transportation Services / Private Vehicle, which is considered as her primary health care specialty. Kingcannon, Tia can be contacted via phone (469) 535-1965.

Contact Information

Primary practice address
3662 W Camp Wisdom Rd Dallas TX 75237-2500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1841064342
LBN Legal business name Kingcannon, Tia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2023
Last updated Nov 14th, 2023 - about last year

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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