Black, Lakitta Shuntel
Black, Lakitta Shuntel is an sole proprietor health care provider with primary practice located at 7721 Hacks Cross Rd Ste 114 , Olive Branch MS 38654-3909. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Black, Lakitta Shuntel can be contacted via phone (901) 461-2756.Contact Information
Primary practice address
7721 Hacks Cross Rd Ste 114
Olive Branch MS 38654-3909
Phone: (901) 461-2756
Fax: (662) 796-6432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 557970 | Mississippi |
Profile Details
| NPI number | 1780314286 |
|---|---|
| LBN Legal business name | Black, Lakitta Shuntel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2022 |
| Last updated | Jun 23rd, 2022 - 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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