Streeter, Danny J

Streeter, Danny J is an individual health care provider with primary practice located at 4780 I 55 N Ste 105 , Jackson MS 39211-5542. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Streeter, Danny J can be contacted via phone (601) 956-4816.

Contact Information

Primary practice address
4780 I 55 N Ste 105 Jackson MS 39211-5542
Phone: (601) 956-4816
Fax: (601) 956-4817
Website:
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Health care specialties

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

Profile Details

NPI number 1225606783
LBN Legal business name Streeter, Danny J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated Jan 3rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225606783 NPPES
Mississippi MEDICAID 01670076

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