Jackson-Assad, Lynda
Jackson-Assad, Lynda is an individual health care provider with primary practice located at 3502 W Northside Dr , Jackson MS 39213-4454. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jackson-Assad, Lynda can be contacted via phone (601) 362-5321.Contact Information
Primary practice address
3502 W Northside Dr
Jackson MS 39213-4454
Phone: (601) 362-5321
Fax: (601) 364-2600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13035 | Mississippi |
Profile Details
| NPI number | 1790729119 |
|---|---|
| LBN Legal business name | Jackson-Assad, Lynda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Dec 20th, 2007 - about 17 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 | 1790729119 | NPPES |
| Mississippi | MEDICAID | 00115979 |
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