Craft, Tonya D.

Craft, Tonya D. is an individual health care provider with primary practice located at 1500 E Woodrow Wilson Ave , Jackson MS 39216-5116. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, which is considered as her primary health care specialty. Craft, Tonya D. can be contacted via phone (601) 362-4471.

Contact Information

Primary practice address
1500 E Woodrow Wilson Ave Jackson MS 39216-5116
Phone: (601) 362-4471
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X RCP2815 Mississippi

Profile Details

NPI number 1962826123
LBN Legal business name Craft, Tonya D.
Credentials Registered Respiratory Therapist (RRT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2014
Last updated Feb 8th, 2014 - about 12 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 1962826123 NPPES
Mississippi MEDICAID 286500000

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