Psonak, Rick A
Psonak, Rick A is an individual health care provider with primary practice located at 777 Lakeland Dr , Jackson MS 39216-4611. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Psonak, Rick A can be contacted via phone (601) 984-6525.Contact Information
Primary practice address
777 Lakeland Dr
Jackson MS 39216-4611
Phone: (601) 984-6525
Fax: (601) 984-5485
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | CPO1452 | Mississippi |
Profile Details
NPI number | 1538258736 |
---|---|
LBN Legal business name | Psonak, Rick A |
Credentials | CPO |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2006 |
Last updated | Feb 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538258736 | NPPES |
Mississippi | MEDICAID | 02901340 | |
Mississippi | Other | CPO1452 |
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