Baskin, Madison Canary

Baskin, Madison Canary is an individual health care provider with primary practice located at 4229 U S Highway 11 , Hattiesburg MS 39402-8024. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Baskin, Madison Canary can be contacted via phone (769) 355-9019.

Contact Information

Primary practice address
4229 U S Highway 11 Hattiesburg MS 39402-8024
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-23-264672 Mississippi

Profile Details

NPI number 1528824042
LBN Legal business name Baskin, Madison Canary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2024
Last updated Feb 22nd, 2024 - about last year

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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