Edward, Willie
Edward, Willie is an individual health care provider with primary practice located at 1701 White St , Mccomb MS 39648-2711. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Edward, Willie can be contacted via phone (601) 249-4228.Contact Information
Primary practice address
1701 White St
Mccomb MS 39648-2711
Phone: (601) 249-4228
Fax: (601) 249-4244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0152 | Mississippi |
Profile Details
| NPI number | 1629494463 |
|---|---|
| LBN Legal business name | Edward, Willie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2014 |
| Last updated | Mar 17th, 2014 - about 11 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.
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