Mims, Lakeisha
Mims, Lakeisha is an sole proprietor health care provider with primary practice located at 1727 Braddock Dr , Sierra Vista AZ 85635-4493. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Mims, Lakeisha can be contacted via phone (520) 226-5347.Contact Information
Primary practice address
1727 Braddock Dr
Sierra Vista AZ 85635-4493
Phone: (520) 226-5347
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 8164517 | Arizona |
Profile Details
| NPI number | 1730619727 |
|---|---|
| LBN Legal business name | Mims, Lakeisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2017 |
| Last updated | Jun 13th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730619727 | NPPES |
| Arizona | Other | 8164517 | CONTRACTOR |
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