Douglas, Roscoe Lormer
Douglas, Roscoe Lormer is an sole proprietor health care provider with primary practice located at 1207 White Oak Dr , Meridian MS 39305-1902. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Douglas, Roscoe Lormer can be contacted via phone (601) 483-8370.Contact Information
Primary practice address
1207 White Oak Dr
Meridian MS 39305-1902
Phone: (601) 483-8370
Fax: (601) 482-4248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 10 139 | Mississippi |
Profile Details
| NPI number | 1740494434 |
|---|---|
| LBN Legal business name | Douglas, Roscoe Lormer |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740494434 | NPPES |
| Mississippi | MEDICAID | 00017960 |
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