Tolliver, Jessica G

Tolliver, Jessica G is an sole proprietor health care provider with primary practice located at 400 W Capitol Ave Ste 2848 , Little Rock AR 72201-3415. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Tolliver, Jessica G can be contacted via phone (501) 650-9014.

Contact Information

Primary practice address
400 W Capitol Ave Ste 2848 Little Rock AR 72201-3415
Phone: (501) 650-9014
Fax: (501) 712-3075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 8115 Arkansas

Profile Details

NPI number 1669982278
LBN Legal business name Tolliver, Jessica G
Credentials LMT, MMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2017
Last updated Oct 29th, 2020 - about 5 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 1669982278 NPPES
Arkansas Other 8115 STATE LICENSE

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