Selvy, Antionette

Selvy, Antionette is an individual health care provider with primary practice located at 1110 Clay St , Vicksburg MS 39183-2912. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Selvy, Antionette can be contacted via phone (601) 738-5820.

Contact Information

Primary practice address
1110 Clay St Vicksburg MS 39183-2912
Phone: (601) 738-5820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1194315986
LBN Legal business name Selvy, Antionette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2021
Last updated Jan 25th, 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.

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