Parris, Juanita Marie
Parris, Juanita Marie is an sole proprietor health care provider with primary practice located at 2906 Highway Ave , Highland IN 46322-1631. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Parris, Juanita Marie can be contacted via phone (219) 513-8311.Contact Information
Primary practice address
2906 Highway Ave
Highland IN 46322-1631
Phone: (219) 513-8311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | BACB558868 | Indiana |
Profile Details
| NPI number | 1003409236 |
|---|---|
| LBN Legal business name | Parris, Juanita Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2021 |
| Last updated | Feb 18th, 2021 - 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 | 1003409236 | NPPES |
| Indiana | MEDICAID | 102957273099 |
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