Mccollough, Stanley
Mccollough, Stanley is an sole proprietor health care provider with primary practice located at 1325 E Fortification St , Jackson MS 39202-2442. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mccollough, Stanley can be contacted via phone (601) 354-4488.Contact Information
Primary practice address
1325 E Fortification St
Jackson MS 39202-2442
Phone: (601) 354-4488
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Mississippi |
Profile Details
| NPI number | 1497872253 |
|---|---|
| LBN Legal business name | Mccollough, Stanley |
| Credentials | ATC, LAT, MHSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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