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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366888737 NPPES
Mississippi MEDICAID 07684032

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