Mize, Jennifer Stewart

Mize, Jennifer Stewart is an individual health care provider with primary practice located at 618 Pegram Dr , Tupelo MS 38801-6322. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Mize, Jennifer Stewart can be contacted via phone (662) 844-3583.

Contact Information

Primary practice address
618 Pegram Dr Tupelo MS 38801-6322
Phone: (662) 844-3583
Fax: (662) 840-8354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X A2377 Mississippi

Profile Details

NPI number 1699897280
LBN Legal business name Mize, Jennifer Stewart
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2013 - about 11 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 1699897280 NPPES
Mississippi MEDICAID 00770450

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