Stubbs, Tamala Surell
Stubbs, Tamala Surell is an sole proprietor health care provider with primary practice located at 501 Lumberton Rd , Columbia MS 39429-3515. She recently has 5 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Agencies / Nursing Care. Agencies / Nursing Care is her primary health care specialty. Stubbs, Tamala Surell can be contacted via phone (601) 736-9980.Contact Information
Primary practice address
501 Lumberton Rd
Columbia MS 39429-3515
Phone: (601) 736-9980
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Home Health | 251E00000X | Mississippi | |
Nursing Service Related Providers / Home Health Aide | 374U00000X | Mississippi | |
Nursing Service Related Providers / Homemaker | 376J00000X | Mississippi | |
Respite Care Facility / Respite Care | 385H00000X | Mississippi | |
Agencies / Nursing Care | 251J00000X | Mississippi |
Profile Details
NPI number | 1942542717 |
---|---|
LBN Legal business name | Stubbs, Tamala Surell |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 20th, 2013 |
Last updated | Nov 1st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942542717 | NPPES |
Mississippi | MEDICAID | 07728803 |
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