Polk-Henderson, Tamatha
Polk-Henderson, Tamatha is an individual health care provider with primary practice located at 1905 Mission 66 , Vicksburg MS 39180-3711. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Polk-Henderson, Tamatha can be contacted via phone (601) 758-5820.Contact Information
Primary practice address
1905 Mission 66
Vicksburg MS 39180-3711
Phone: (601) 758-5820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1164134789 |
|---|---|
| LBN Legal business name | Polk-Henderson, Tamatha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2022 |
| Last updated | Dec 14th, 2022 - about 3 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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