Jackson, Tonya

Jackson, Tonya is an sole proprietor 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 / Music Therapist, which is considered as her primary health care specialty. Jackson, Tonya 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X 06219 Wisconsin

Profile Details

NPI number 1942874193
LBN Legal business name Jackson, Tonya
Credentials MT-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2021
Last updated May 13th, 2021 - 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 1942874193 NPPES
Wisconsin Other 06219 CBMT

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