Mckinnon, Natasha

Mckinnon, Natasha is an individual health care provider with primary practice located at 1084 Jones Creek Dr , Jacksonville FL 32225-6303. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Mckinnon, Natasha can be contacted via phone (904) 993-6696.

Contact Information

Primary practice address
1084 Jones Creek Dr Jacksonville FL 32225-6303
Phone: (904) 993-6696
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1619025129
LBN Legal business name Mckinnon, Natasha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 15th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619025129 NPPES
Florida MEDICAID 767149100

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