Adcock, Jasper Winton
Adcock, Jasper Winton is an sole proprietor health care provider with primary practice located at 1074 Highway 13 N , Brandon MS 39042-8568. He recently has 6 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Adcock, Jasper Winton can be contacted via phone (601) 825-0101.Contact Information
Primary practice address
1074 Highway 13 N
Brandon MS 39042-8568
Phone: (601) 825-0101
Fax: (601) 825-0102
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 5208 | Mississippi |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2664 | Mississippi |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Mississippi | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5208 | Mississippi |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | Mississippi | |
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Mississippi | |
Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 2664 | Mississippi |
Profile Details
NPI number | 1942556311 |
---|---|
LBN Legal business name | Adcock, Jasper Winton |
Credentials | DPT, OTR/L, RHIA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 3rd, 2012 |
Last updated | Feb 23rd, 2022 - 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 | 1942556311 | NPPES |
Mississippi | MEDICAID | 3185373 |
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