Booker, Hannah Olivia
Booker, Hannah Olivia is an sole proprietor health care provider with primary practice located at 4905 Telephone Rd , Pascagoula MS 39567-1823. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Booker, Hannah Olivia can be contacted via phone (228) 769-1280.Contact Information
Primary practice address
4905 Telephone Rd
Pascagoula MS 39567-1823
Phone: (228) 769-1280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1508470121 |
|---|---|
| LBN Legal business name | Booker, Hannah Olivia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2020 |
| Last updated | Sep 1st, 2020 - about 5 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 | 1508470121 | NPPES |
| Mississippi | MEDICAID | 00018214 |
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