Boggs, Jan Parr
Boggs, Jan Parr is an sole proprietor health care provider with primary practice located at 1508 37Th Avenue , Meridian MS 39307. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Boggs, Jan Parr can be contacted via phone (601) 482-4285.Contact Information
Primary practice address
1508 37Th Avenue
Meridian MS 39307
Phone: (601) 482-4285
Fax: (601) 482-7972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 25-335 | Mississippi |
Profile Details
| NPI number | 1285856112 |
|---|---|
| LBN Legal business name | Boggs, Jan Parr |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1285856112 | NPPES |
| Mississippi | MEDICAID | 00015202 |
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