Womack, Emma
Womack, Emma is an individual health care provider with primary practice located at 5430 Executive Pl Ste 2G , Jackson MS 39206-4134. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Womack, Emma can be contacted via phone (769) 235-6145.Contact Information
Primary practice address
5430 Executive Pl Ste 2G
Jackson MS 39206-4134
Phone: (769) 235-6145
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Adult Companion | 372600000X | Mississippi | |
Nursing Service Related Providers / Homemaker | 376J00000X | Mississippi |
Profile Details
NPI number | 1174037881 |
---|---|
LBN Legal business name | Womack, Emma |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2017 |
Last updated | Nov 25th, 2017 - about 7 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 | 1174037881 | NPPES |
Mississippi | MEDICAID | 09207260 | |
Mississippi | MEDICAID | 00487044 |
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