Purnell, Mable C
Purnell, Mable C is an sole proprietor health care provider with primary practice located at 2460 Terry Rd Ste 350 , Jackson MS 39204-5792. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Purnell, Mable C can be contacted via phone (601) 946-3926.Contact Information
Primary practice address
2460 Terry Rd Ste 350
Jackson MS 39204-5792
Phone: (601) 946-3926
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | Z3X2A4K5 | Mississippi |
Profile Details
| NPI number | 1720676422 |
|---|---|
| LBN Legal business name | Purnell, Mable C |
| Credentials | CCMA, MEDICAL DATA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2021 |
| Last updated | Jan 7th, 2021 - about 4 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 | 1720676422 | NPPES |
| Mississippi | Other | 84-5046661 | PRIVATE INSURANCE |
| Mississippi | MEDICAID | 84-5046661 | PRIVATE INSURANCE |
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