Jimerson, Anthony James

Jimerson, Anthony James is an individual health care provider with primary practice located at 3407 Shamrock Ct , Gautier MS 39553. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Jimerson, Anthony James can be contacted via phone (228) 497-0690.

Contact Information

Primary practice address
3407 Shamrock Ct Gautier MS 39553
Phone: (228) 497-0690
Fax: (228) 497-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1205024536
LBN Legal business name Jimerson, Anthony James
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Oct 11th, 2007 - 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 1205024536 NPPES
Mississippi MEDICAID 00018214

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