Musgrove, Jeffrey Irvin

Musgrove, Jeffrey Irvin is an sole proprietor health care provider with primary practice located at 534Ne 13Th Court , Fort Lauderdale FL 33304-3607. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Musgrove, Jeffrey Irvin can be contacted via phone (954) 828-9077.

Contact Information

Primary practice address
534Ne 13Th Court Fort Lauderdale FL 33304-3607
Phone: (954) 828-9077
Fax: (954) 828-9077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4827 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 7278 Florida

Profile Details

NPI number 1598791410
LBN Legal business name Musgrove, Jeffrey Irvin
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Sep 18th, 2008 - about 17 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 1598791410 NPPES
Ohio MEDICAID 2069096

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