Richardson, Tanissea

Richardson, Tanissea is an sole proprietor health care provider with primary practice located at 2817 Reilly St , Fort Bragg NC 28310-7324. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Richardson, Tanissea can be contacted via phone (910) 643-2196.

Contact Information

Primary practice address
2817 Reilly St Fort Bragg NC 28310-7324
Phone: (910) 643-2196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 9188 North Carolina

Profile Details

NPI number 1174975635
LBN Legal business name Richardson, Tanissea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2016
Last updated Jul 8th, 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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