Takeshita, Tasha
Takeshita, Tasha is an sole proprietor health care provider with primary practice located at 255 E Bonita Ave , Pomona CA 91767-1933. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Takeshita, Tasha can be contacted via phone (909) 450-0304.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AU3672 | California |
Profile Details
| NPI number | 1386304178 |
|---|---|
| LBN Legal business name | Takeshita, Tasha |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2021 |
| Last updated | Sep 13th, 2024 - about 2 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 | 1386304178 | NPPES |
| California | Other | AU3672 | AUDIOLOGY LICENSE |
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