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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598791410 | NPPES |
| Ohio | MEDICAID | 2069096 |
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