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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538258736 NPPES
Mississippi MEDICAID 02901340
Mississippi Other CPO1452

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