Ford, Tasha J

Ford, Tasha J is an individual health care provider with primary practice located at 877 Jefferson Ave , Memphis TN 38103-2807. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Ford, Tasha J can be contacted via phone (901) 545-8699.

Contact Information

Primary practice address
877 Jefferson Ave Memphis TN 38103-2807
Phone: (901) 545-8699
Fax: (901) 545-8998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 31431 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 31431 Tennessee

Profile Details

NPI number 1205836566
LBN Legal business name Ford, Tasha J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated May 13th, 2016 - about 10 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 1205836566 NPPES
Tennessee MEDICAID 3633676

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