Polk, Jason

Polk, Jason is an sole proprietor health care provider with primary practice located at 132 Riverview Dr Ste B , Flowood MS 39232-8924. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Polk, Jason can be contacted via phone (601) 981-2707.

Contact Information

Primary practice address
132 Riverview Dr Ste B Flowood MS 39232-8924
Phone: (601) 981-2707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2335 Mississippi
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2335 Mississippi
Behavioral Health & Social Service Providers / Professional 101YP2500X 2335 Mississippi

Profile Details

NPI number 1831669043
LBN Legal business name Polk, Jason
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2018
Last updated Dec 1st, 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.

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