Hair, Dora

Hair, Dora is an sole proprietor health care provider with primary practice located at 1625 Westhaven Blvd , Jackson MS 39209-5728. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Hair, Dora can be contacted via phone (601) 922-8466.

Contact Information

Primary practice address
1625 Westhaven Blvd Jackson MS 39209-5728
Phone: (601) 922-8466
Fax: (601) 488-0421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 00422545 Mississippi
Nursing Service Related Providers / Homemaker 376J00000X 01473740 Mississippi

Profile Details

NPI number 1215107974
LBN Legal business name Hair, Dora
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2008
Last updated Mar 9th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215107974 NPPES
Mississippi MEDICAID 00422545
Mississippi MEDICAID 01473740

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