Smith-Bowen, Phyllis

Smith-Bowen, Phyllis is an sole proprietor health care provider with primary practice located at 1475 Mossline Dr , Jackson MS 39211-2819. 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. Smith-Bowen, Phyllis can be contacted via phone (601) 942-5051.

Contact Information

Primary practice address
1475 Mossline Dr Jackson MS 39211-2819
Phone: (601) 942-5051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT0499 Mississippi

Profile Details

NPI number 1427086792
LBN Legal business name Smith-Bowen, Phyllis
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427086792 NPPES
Mississippi MEDICAID 06102222

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