Smirthwaite, Sarah Suzanne
Smirthwaite, Sarah Suzanne is an individual health care provider with primary practice located at 8990 Lorraine Rd , Gulfport MS 39503-4176. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smirthwaite, Sarah Suzanne can be contacted via phone (228) 331-3310.Contact Information
Primary practice address
8990 Lorraine Rd
Gulfport MS 39503-4176
Phone: (228) 331-3310
Fax: (228) 284-1608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C7393 | Mississippi |
Profile Details
| NPI number | 1427420108 |
|---|---|
| LBN Legal business name | Smirthwaite, Sarah Suzanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2015 |
| Last updated | Feb 23rd, 2023 - about 3 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 | 1427420108 | NPPES |
| Mississippi | MEDICAID | 08685769 |
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