Tidwell, Jonta Delisa

Tidwell, Jonta Delisa is an sole proprietor health care provider with primary practice located at 3026 18Th St S , Fargo ND 58103-6716. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Tidwell, Jonta Delisa can be contacted via phone (480) 286-8603.

Contact Information

Primary practice address
3026 18Th St S Fargo ND 58103-6716
Phone: (480) 286-8603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1912524273
LBN Legal business name Tidwell, Jonta Delisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2020
Last updated Jul 1st, 2020 - about 6 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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