Williams, Taneisha

Williams, Taneisha is an sole proprietor health care provider with primary practice located at 105 Davis St , Fayetteville NC 28305-5355. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Williams, Taneisha can be contacted via phone (910) 257-2351.

Contact Information

Primary practice address
105 Davis St Fayetteville NC 28305-5355
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1164094645
LBN Legal business name Williams, Taneisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2021
Last updated Jul 14th, 2021 - about 4 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 1164094645 NPPES
North Carolina MEDICAID 2227863

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