Adams, Robert

Adams, Robert is an sole proprietor health care provider with primary practice located at 1600 N State St Ste 400, Jackson MS 39202-1689. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Neurology. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Adams, Robert can be contacted via phone (601) 944-1717.

Contact Information

Primary practice address
1600 N State St Ste 400 Jackson MS 39202-1689
Fax: (601) 944-9780
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 41677 Mississippi
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 41677 Mississippi

Profile Details

NPI number 1003830563
LBN Legal business name Adams, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Dec 8th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003830563 NPPES
Mississippi MEDICAID 03731341

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