Smyly, Jennifer L.
Smyly, Jennifer L. is an individual health care provider with primary practice located at 120 Veterans Drive Va State Home / Oxford, Oxford MS 38655. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Smyly, Jennifer L. can be contacted via phone (601) 206-9195.Contact Information
Primary practice address
120 Veterans Drive Va State Home / Oxford
Oxford MS 38655
Phone: (601) 206-9195
Fax: (601) 957-8391
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT2725 | Mississippi |
Profile Details
NPI number | 1548513476 |
---|---|
LBN Legal business name | Smyly, Jennifer L. |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2012 |
Last updated | Oct 16th, 2012 - about 13 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 | 1548513476 | NPPES |
Mississippi | MEDICAID | 09014160 |
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