King Deberry, Olivia Chonte
King Deberry, Olivia Chonte is an sole proprietor health care provider with primary practice located at 2103 Ansley Park Ln , Southaven MS 38672-8693. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. King Deberry, Olivia Chonte can be contacted via phone (901) 240-2955.Contact Information
Primary practice address
2103 Ansley Park Ln
Southaven MS 38672-8693
Phone: (901) 240-2955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1487227138 |
|---|---|
| LBN Legal business name | King Deberry, Olivia Chonte |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2021 |
| Last updated | Jul 21st, 2021 - about 4 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 | 1487227138 | NPPES |
| Other | 123 | OTHER |
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