Washington, Marcia Lynn

Washington, Marcia Lynn is an sole proprietor health care provider with primary practice located at 503 Constitution Dr , Iuka MS 38852-8201. 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. Washington, Marcia Lynn can be contacted via phone (662) 424-9500.

Contact Information

Primary practice address
503 Constitution Dr Iuka MS 38852-8201
Phone: (662) 424-9500
Fax: (662) 424-9592
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT1226 Mississippi

Profile Details

NPI number 1265579890
LBN Legal business name Washington, Marcia Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
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 1265579890 NPPES
Mississippi MEDICAID 09205572

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