Marcellus, Summer Lyn

Marcellus, Summer Lyn is an sole proprietor health care provider with primary practice located at 12261 Highway 49 Ste 1 , Gulfport MS 39503-2976. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Marcellus, Summer Lyn can be contacted via phone (228) 265-7185.

Contact Information

Primary practice address
12261 Highway 49 Ste 1 Gulfport MS 39503-2976
Phone: (228) 265-7185
Fax: (833) 219-5405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT3621 Mississippi

Profile Details

NPI number 1154888592
LBN Legal business name Marcellus, Summer Lyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2019
Last updated Feb 21st, 2019 - about 7 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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