Barrilleaux, Gerald Steve
Barrilleaux, Gerald Steve is an sole proprietor health care provider with primary practice located at 1600 Broad Ave , Gulfport MS 39501-3603. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Barrilleaux, Gerald Steve can be contacted via phone (228) 863-1132.Contact Information
Primary practice address
1600 Broad Ave
Gulfport MS 39501-3603
Phone: (228) 863-1132
Fax: (228) 865-1700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35-570 | Mississippi |
Profile Details
| NPI number | 1548285828 |
|---|---|
| LBN Legal business name | Barrilleaux, Gerald Steve |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 21st, 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 | 1548285828 | NPPES |
| Mississippi | MEDICAID | 00018213 |
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