Terry, Frederick Marvin

Terry, Frederick Marvin is an sole proprietor health care provider with primary practice located at 2135 Henry Hill Dr Ste 200 , Jackson MS 39204-2013. He recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Terry, Frederick Marvin can be contacted via phone (601) 942-7689.

Contact Information

Primary practice address
2135 Henry Hill Dr Ste 200 Jackson MS 39204-2013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X
Respite Care Facility / Respite Care 385H00000X
Nursing Service Providers / Registered Nurse 163W00000X 890892 Mississippi

Profile Details

NPI number 1063025062
LBN Legal business name Terry, Frederick Marvin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2020
Last updated Aug 28th, 2020 - 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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