Fairley, Joseph Matthew
Fairley, Joseph Matthew is an sole proprietor health care provider with primary practice located at 1466 Kristen Dr , Jackson MS 39211-2115. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Fairley, Joseph Matthew can be contacted via phone (601) 497-4757.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X |
Profile Details
| NPI number | 1144817115 |
|---|---|
| LBN Legal business name | Fairley, Joseph Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 24th, 2020 |
| Last updated | Dec 24th, 2020 - about 4 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 | 1144817115 | NPPES |
| Mississippi | MEDICAID | 800718433 | |
| Mississippi | MEDICAID | 80078433 |
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