Jackson, Lateasha C

Jackson, Lateasha C is an sole proprietor health care provider with primary practice located at 1110 N 47Th St , Kansas City KS 66102-1702. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Jackson, Lateasha C can be contacted via phone (913) 709-1122.

Contact Information

Primary practice address
1110 N 47Th St Kansas City KS 66102-1702
Phone: (913) 709-1122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1952766354
LBN Legal business name Jackson, Lateasha C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2015
Last updated Dec 29th, 2015 - about 11 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.

Request for update

Popular Providers