National Provider Identifier Database

LATOSHA M JACKSON, HAIR STYLIST – NPI #1215631676
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

LATOSHA M JACKSON, HAIR STYLIST
3710 GRANT DR STE A
RENO, NV89509-5317
Phone: 775-786-0885
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Prosthetic/Orthotic Supplier 335E00000X

* Indicates primary specialty

NPI Profile & details for LATOSHA M JACKSON

NPI Number 1215631676
Credentials HAIR STYLIST
Entity Individual
Enumeration date 03/29/2023
Last updated 03/31/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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