National Provider Identifier Database

PATHWAY HEALTHCARE JACKSON MS LLC
Addiction Medicine


Contact Information

PATHWAY HEALTHCARE - JACKSON, MS, LLC
1200 N STATE ST STE 450
JACKSON, MS39202-2000
Phone: 205-208-9312
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 207QA0401X

* Indicates primary specialty

NPI Profile & details for PATHWAY HEALTHCARE - JACKSON, MS, LLC

NPI Number 1487179156
Legal business name
LBN
PATHWAY HEALTHCARE - JACKSON, MS, LLC
Authorized official ANDREW TURNER - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 08/03/2017
Last updated 05/11/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers 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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