Erickson, Jeremy
Erickson, Jeremy is an sole proprietor health care provider with primary practice located at 232 Goodman Rd W Ste 305 , Southaven MS 38671-8004. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Erickson, Jeremy can be contacted via phone (662) 856-9563.Contact Information
Primary practice address
232 Goodman Rd W Ste 305
Southaven MS 38671-8004
Phone: (662) 856-9563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2608 | Mississippi |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | A1708258 | Arkansas |
Profile Details
| NPI number | 1396225504 |
|---|---|
| LBN Legal business name | Erickson, Jeremy |
| Credentials | MAMFTC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2018 |
| Last updated | Apr 3rd, 2024 - about 2 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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