Jackson, Lasalle

Jackson, Lasalle is an individual health care provider with primary practice located at 606 Walnut St , Port Gibson MS 39150-2140. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jackson, Lasalle can be contacted via phone (601) 529-0527.

Contact Information

Primary practice address
606 Walnut St Port Gibson MS 39150-2140
Phone: (601) 529-0527
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Mississippi

Profile Details

NPI number 1508331711
LBN Legal business name Jackson, Lasalle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2018
Last updated Oct 4th, 2018 - about 7 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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