Hale, David Jack
Hale, David Jack is an sole proprietor health care provider with primary practice located at 4905 Telephone Rd , Pascagoula MS 39567-1823. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hale, David Jack can be contacted via phone (228) 769-1280.Contact Information
Primary practice address
4905 Telephone Rd
Pascagoula MS 39567-1823
Phone: (228) 769-1280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1952953085 |
|---|---|
| LBN Legal business name | Hale, David Jack |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2019 |
| Last updated | Jul 9th, 2019 - about 7 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 | 1952953085 | NPPES |
| Mississippi | MEDICAID | 00018214 |
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