Johnson, Mitchell Lamar
Johnson, Mitchell Lamar is an sole proprietor health care provider with primary practice located at 10176 Weldwood Dr , Meridian MS 39307-9368. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Johnson, Mitchell Lamar can be contacted via phone (160) 155-9018.Contact Information
Primary practice address
10176 Weldwood Dr
Meridian MS 39307-9368
Phone: (160) 155-9018
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | 800098410 | Mississippi |
Profile Details
| NPI number | 1295325033 |
|---|---|
| LBN Legal business name | Johnson, Mitchell Lamar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2021 |
| Last updated | Jan 26th, 2021 - about 3 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 | 1295325033 | NPPES |
| Mississippi | Other | 800098410 | DRIVER LICENSE |
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