Dixon-Tatum, Jessica Annette
Dixon-Tatum, Jessica Annette is an sole proprietor health care provider with primary practice located at 401 N 6Th St , Buckeye AZ 85326-2415. She recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Illness, Child, Agencies / Foster Care Agency. Agencies / Foster Care Agency is her primary health care specialty. Dixon-Tatum, Jessica Annette can be contacted via phone (623) 698-8210.Contact Information
Primary practice address
401 N 6Th St
Buckeye AZ 85326-2415
Phone: (623) 698-8210
Fax: (602) 455-4624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 8900919 | Arizona |
| Agencies / Foster Care Agency | 253J00000X | 8900919 | Arizona |
Profile Details
| NPI number | 1033757877 |
|---|---|
| LBN Legal business name | Dixon-Tatum, Jessica Annette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2019 |
| Last updated | Dec 11th, 2019 - about 7 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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