Irby, James W

Irby, James W is an individual health care provider with primary practice located at 4500 I 55 North Highland Village Suite 234, Jackson MS 39211. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Irby, James W can be contacted via phone (601) 982-8531.

Contact Information

Primary practice address
4500 I 55 North Highland Village Suite 234 Jackson MS 39211
Phone: (601) 982-8531
Fax: (601) 982-1115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 41669 Mississippi

Profile Details

NPI number 1891805180
LBN Legal business name Irby, James W
Credentials PHD, ABPP-CN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 25th, 2009 - 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 1891805180 NPPES
Mississippi MEDICAID 01081821

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