Van Choff, Jan Michele
Van Choff, Jan Michele is an individual health care provider with primary practice located at 2059 E Pass Rd Ste 4 , Gulfport MS 39507-3761. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Choff, Jan Michele can be contacted via phone (228) 314-3626.Contact Information
Primary practice address
2059 E Pass Rd Ste 4
Gulfport MS 39507-3761
Phone: (228) 314-3626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13093 | Louisiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 9156 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C8228 | Mississippi |
Profile Details
| NPI number | 1831569235 |
|---|---|
| LBN Legal business name | Van Choff, Jan Michele |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2015 |
| Last updated | Feb 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831569235 | NPPES |
| Mississippi | MEDICAID | 08856031 |
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