Juanico, Jamie
Juanico, Jamie is an individual health care provider with primary practice located at 4905 Telephone Rd , Pascagoula MS 39567-1823. 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. Juanico, Jamie can be contacted via phone (228) 382-9005.Contact Information
Primary practice address
4905 Telephone Rd
Pascagoula MS 39567-1823
Phone: (228) 382-9005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1477159317 |
|---|---|
| LBN Legal business name | Juanico, Jamie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2020 |
| Last updated | Dec 7th, 2020 - about 5 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 | 1477159317 | NPPES |
| Mississippi | MEDICAID | 00018214 |
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