Holliday, Patricia B

Holliday, Patricia B is an sole proprietor health care provider with primary practice located at 248 E Capitol St 840 Trust Mark Bldg, Jackson MS 39201-2503. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Holliday, Patricia B can be contacted via phone (800) 632-6074.

Contact Information

Primary practice address
248 E Capitol St 840 Trust Mark Bldg Jackson MS 39201-2503
Phone: (800) 632-6074
Fax: (866) 341-7509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 46748 Mississippi

Profile Details

NPI number 1396779724
LBN Legal business name Holliday, Patricia B
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Nov 19th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396779724 NPPES
Mississippi Other P00364890 RR MCARE W PARADIGM
Mississippi MEDICAID 06476266 RR MCARE W PARADIGM

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