Hale, Marcella A
Hale, Marcella A is an individual health care provider with primary practice located at 1989 Pass Road , Gulfport MS 39531. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hale, Marcella A can be contacted via phone (228) 207-1248.Contact Information
Primary practice address
1989 Pass Road
Gulfport MS 39531
Phone: (228) 207-1248
Fax: (228) 388-6182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1447458294 |
|---|---|
| LBN Legal business name | Hale, Marcella A |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | May 23rd, 2018 - about 8 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 | 1447458294 | NPPES |
| Mississippi | MEDICAID | 00018214 |
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