Beale, Latrice
Beale, Latrice is an sole proprietor health care provider with primary practice located at 125 W Northside Dr # G , Jackson MS 39206-4723. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Beale, Latrice can be contacted via phone (601) 720-2865.Contact Information
Primary practice address
125 W Northside Dr # G
Jackson MS 39206-4723
Phone: (601) 720-2865
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1578957759 |
|---|---|
| LBN Legal business name | Beale, Latrice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2015 |
| Last updated | Mar 25th, 2015 - about 11 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 | 1578957759 | NPPES |
| Mississippi | MEDICAID | 01775546 |
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