Austin, Jessica
Austin, Jessica is an sole proprietor health care provider with primary practice located at 839 Bestgate Rd , Annapolis MD 21401-3472. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Austin, Jessica can be contacted via phone (808) 292-8073.Contact Information
Primary practice address
839 Bestgate Rd
Annapolis MD 21401-3472
Phone: (808) 292-8073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1578711610 |
|---|---|
| LBN Legal business name | Austin, Jessica |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2008 |
| Last updated | Mar 7th, 2014 - about 10 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 | 1578711610 | NPPES |
| Massachusetts | Other | 685661 | TUFTS |
| Massachusetts | Other | M18708 | TUFTS |
| Massachusetts | MEDICAID | 1312677 | TUFTS |
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