Junearick, Joan Lashall

Junearick, Joan Lashall is an sole proprietor health care provider with primary practice located at 813 Varsity Dr , Tupelo MS 38801-4703. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Junearick, Joan Lashall can be contacted via phone (662) 844-9763.

Contact Information

Primary practice address
813 Varsity Dr Tupelo MS 38801-4703
Fax: (662) 844-9763
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1962451559
LBN Legal business name Junearick, Joan Lashall
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Nov 15th, 2010 - about 14 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 1962451559 NPPES
Mississippi MEDICAID 03537734

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