Dachs, Jimmy D

Dachs, Jimmy D is an individual health care provider with primary practice located at 1186 Hwy 45 Bypass Ste D , Jackson TN 38301-3256. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Dachs, Jimmy D can be contacted via phone (731) 215-0502.

Contact Information

Primary practice address
1186 Hwy 45 Bypass Ste D Jackson TN 38301-3256
Phone: (731) 215-0502
Fax: (731) 345-4086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2002012996 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 5954 Tennessee

Profile Details

NPI number 1740246057
LBN Legal business name Dachs, Jimmy D
Credentials LPC-MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740246057 NPPES
Tennessee MEDICAID Q074026

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