Austin, James B

Austin, James B is an sole proprietor health care provider with primary practice located at 1855 Crane Ridge Drive, Suite A, Jackson MS 39216-4944. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Austin, James B can be contacted via phone (601) 982-8700.

Contact Information

Primary practice address
1855 Crane Ridge Drive, Suite A Jackson MS 39216-4944
Phone: (601) 982-8700
Fax: (601) 366-3906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 21260 Mississippi

Profile Details

NPI number 1184724569
LBN Legal business name Austin, James B
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184724569 NPPES
Mississippi MEDICAID 00011411

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