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Contact Information

TAISHA DEJESUS
9008 GRIERS PASTURE DR
CHARLOTTE, NC28278-0050
 Phone: 518-331-4809
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Taxi

344600000X
Indicates primary specialty

NPI Profile & details for TAISHA DEJESUS · (Female)

NPI # 1255852554
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2017
Last updated 08/16/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY Medicaid 04641416
Hospital affiliation(s) Not Available
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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