Jenkins, Larry Carlton

Jenkins, Larry Carlton is an sole proprietor health care provider with primary practice located at 912 Highway 15 , Stringer MS 39481-4230. He recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Specialty Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is his primary health care specialty. Jenkins, Larry Carlton can be contacted via phone (601) 649-4418.

Contact Information

Primary practice address
912 Highway 15 Stringer MS 39481-4230
Phone: (601) 649-4418
Fax: (601) 649-4487
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 05068/11.1 Mississippi
Suppliers / Specialty Pharmacy 3336S0011X 05321/02.5 Mississippi

Profile Details

NPI number 1285669150
LBN Legal business name Jenkins, Larry Carlton
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Mar 28th, 2008 - about 18 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 1285669150 NPPES
Mississippi MEDICAID 00440829
Mississippi MEDICAID 00330648
Mississippi Other 1700073905

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