Alliston, Jerry R
Alliston, Jerry R is an individual health care provider with primary practice located at 118 College Dr # 5163 , Hattiesburg MS 39406-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Alliston, Jerry R can be contacted via phone (601) 266-5163.Contact Information
Primary practice address
118 College Dr # 5163
Hattiesburg MS 39406-0001
Phone: (601) 266-5163
Fax: (601) 266-5114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M6461 | Mississippi |
Profile Details
| NPI number | 1669661328 |
|---|---|
| LBN Legal business name | Alliston, Jerry R |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2007 |
| Last updated | Oct 18th, 2007 - about 19 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 | 1669661328 | NPPES |
| Mississippi | MEDICAID | 00675504 |
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