Ross, Nathan Tyler
Ross, Nathan Tyler is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ross, Nathan Tyler can be contacted via phone (601) 815-2005.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216-4500
Phone: (601) 815-2005
Fax: (601) 496-9452
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 621124 | Mississippi |
Profile Details
NPI number | 1295150175 |
---|---|
LBN Legal business name | Ross, Nathan Tyler |
Credentials | MHPP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 28th, 2014 |
Last updated | Oct 18th, 2022 - about 2 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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