Joseph, Kenya Irvin

Joseph, Kenya Irvin is an sole proprietor health care provider with primary practice located at 308 Turtle Creek Ln , Saint Rose LA 70087-3824. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Joseph, Kenya Irvin can be contacted via phone (504) 462-6561.

Contact Information

Primary practice address
308 Turtle Creek Ln Saint Rose LA 70087-3824
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Louisiana

Profile Details

NPI number 1548798952
LBN Legal business name Joseph, Kenya Irvin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2017
Last updated May 30th, 2017 - about 8 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 1548798952 NPPES
Louisiana MEDICAID 11111

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