National Provider Identifier Database

JOSEPH A CHURCH III, OTR/L-CHT – NPI #1265470744
Hand


Contact Information

JOSEPH A CHURCH III, OTR/L-CHT
1105 39TH AVE
GULFPORT, MS39501-2654
Phone: 228-575-4654
Fax: 228-575-4651
Website:
Specialty Taxonomy Code
* Hand 225XH1200X

* Indicates primary specialty

NPI Profile & details for JOSEPH A CHURCH III

NPI Number 1265470744
Credentials OTR/L-CHT
Entity Individual
Enumeration date 06/04/2006
Last updated 01/29/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • MS License #: OT0116
  • MS Medicaid: 00119593
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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