Ross, Nathan Tyler

Ross, Nathan Tyler is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ross, Nathan Tyler can be contacted via phone (601) 815-2005.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-2005
Fax: (601) 496-9452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 621124 Mississippi

Profile Details

NPI number 1295150175
LBN Legal business name Ross, Nathan Tyler
Credentials MHPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2014
Last updated Oct 18th, 2022 - 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.

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