Washburn, Joe Lynn

Washburn, Joe Lynn is an individual health care provider with primary practice located at 3407 Shamrock Ct , Gautier MS 39553. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Washburn, Joe Lynn can be contacted via phone (228) 497-0670.

Contact Information

Primary practice address
3407 Shamrock Ct Gautier MS 39553
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1205050093
LBN Legal business name Washburn, Joe Lynn
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205050093 NPPES
Mississippi MEDICAID 00018214

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