Chisholm, Sherry Laverne
Chisholm, Sherry Laverne is an individual health care provider with primary practice located at 3407 Shamrock Ct , Gautier MS 39553. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Chisholm, Sherry Laverne can be contacted via phone (228) 497-0690.Contact Information
Primary practice address
3407 Shamrock Ct
Gautier MS 39553
Phone: (228) 497-0690
Fax: (228) 497-1363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1285825810 |
|---|---|
| LBN Legal business name | Chisholm, Sherry Laverne |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Aug 8th, 2007 - about 18 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 | 1285825810 | NPPES |
| Mississippi | MEDICAID | 00018214 |
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