Ross, Marion Christine
Ross, Marion Christine is an sole proprietor health care provider with primary practice located at 133 Executive Dr Ste A , Madison MS 39110. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ross, Marion Christine can be contacted via phone (601) 665-2047.Contact Information
Primary practice address
133 Executive Dr Ste A
Madison MS 39110
Phone: (601) 665-2047
Fax: (800) 476-4191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | C2287 | Mississippi |
Profile Details
| NPI number | 1992709570 |
|---|---|
| LBN Legal business name | Ross, Marion Christine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Jul 13th, 2018 - about 7 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 | 1992709570 | NPPES |
| Mississippi | MEDICAID | 04478331 |
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