Roberts, Tykeshia
Roberts, Tykeshia is an sole proprietor health care provider with primary practice located at Navy Medicine Support Command Attn: Medical Staff Svcs 2005 Knight Lane Bldg H, Jacksonville FL 32212-0140. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Roberts, Tykeshia can be contacted via phone (760) 725-3213.Contact Information
Primary practice address
Navy Medicine Support Command Attn: Medical Staff Svcs 2005 Knight Lane Bldg H
Jacksonville FL 32212-0140
Phone: (760) 725-3213
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X |
Profile Details
| NPI number | 1114564325 |
|---|---|
| LBN Legal business name | Roberts, Tykeshia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2019 |
| Last updated | Dec 6th, 2019 - about 6 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 | 1114564325 | NPPES |
| Other | 1369927759 | EDIPI |
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