Hudspeth, Carrol Ann
Hudspeth, Carrol Ann is an sole proprietor health care provider with primary practice located at 1134 E Broad St , Monticello MS 39654-7681. She recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as her primary health care specialty. Hudspeth, Carrol Ann can be contacted via phone (601) 587-9226.Contact Information
Primary practice address
1134 E Broad St
Monticello MS 39654-7681
Phone: (601) 587-9226
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 251QA0600X | Mississippi |
Profile Details
| NPI number | 1366888737 |
|---|---|
| LBN Legal business name | Hudspeth, Carrol Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2013 |
| Last updated | May 13th, 2013 - about 12 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 | 1366888737 | NPPES |
| Mississippi | MEDICAID | 07684032 |
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