Irving, August
Irving, August is an individual health care provider with primary practice located at 604 Highway 80 W , Clinton MS 39056-4108. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Irving, August can be contacted via phone (601) 953-7064.Contact Information
Primary practice address
604 Highway 80 W
Clinton MS 39056-4108
Phone: (601) 953-7064
Fax: (601) 369-0264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1789 | Mississippi |
Profile Details
| NPI number | 1689000317 |
|---|---|
| LBN Legal business name | Irving, August |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2013 |
| Last updated | Oct 23rd, 2020 - about 6 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 | 1689000317 | NPPES |
| Mississippi | MEDICAID | 00018209 |
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