Tackett, Freddie

Tackett, Freddie is an individual health care provider with primary practice located at 34800 Bob Wilson Dr Bld 26, San Diego CA 92134-1098. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Tackett, Freddie can be contacted via phone (619) 532-5792.

Contact Information

Primary practice address
34800 Bob Wilson Dr Bld 26 San Diego CA 92134-1098
Phone: (619) 532-5792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1487076675
LBN Legal business name Tackett, Freddie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2014
Last updated Jan 8th, 2014 - about 10 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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