Tyrone, Rachel
Tyrone, Rachel is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Tyrone, Rachel can be contacted via phone (601) 815-4969.Contact Information
Primary practice address
2500 North State Street
Jackson MS 39216-4500
Phone: (601) 815-4969
Fax: (601) 984-1531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Mississippi |
Profile Details
| NPI number | 1780059402 |
|---|---|
| LBN Legal business name | Tyrone, Rachel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2015 |
| Last updated | Apr 21st, 2016 - about 10 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 | 1780059402 | NPPES |
| Mississippi | MEDICAID | 09482564 |
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