Tacker, Deanna Rae

Tacker, Deanna Rae is an individual health care provider with primary practice located at 1030 Jefferson Ave , Memphis TN 38104-2127. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Tacker, Deanna Rae can be contacted via phone (901) 523-8990.

Contact Information

Primary practice address
1030 Jefferson Ave Memphis TN 38104-2127
Phone: (901) 523-8990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LDN0000001656 Tennessee

Profile Details

NPI number 1063520427
LBN Legal business name Tacker, Deanna Rae
Credentials MS, RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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