Ansley, Laura R

Ansley, Laura R is an individual health care provider with primary practice located at 2210B Mill Street Ext , Lucedale MS 39452-6064. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ansley, Laura R can be contacted via phone (601) 947-9005.

Contact Information

Primary practice address
2210B Mill Street Ext Lucedale MS 39452-6064
Phone: (601) 947-9005
Fax: (601) 947-9007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT1966 Mississippi

Profile Details

NPI number 1134132426
LBN Legal business name Ansley, Laura R
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Mar 30th, 2009 - about 16 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 1134132426 NPPES
Mississippi Other 09015077 MS MEDICAID GROUP
Mississippi Other 1033218524 MS MEDICAID GROUP

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