Provider Demographics
NPI:1508155029
Name:MJR ENTERPRISES, INC.
Entity Type:Organization
Organization Name:MJR ENTERPRISES, INC.
Other - Org Name:A. RONALD SEIFERT PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:A
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:SEIFERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-698-1321
Mailing Address - Street 1:146 DEPOT ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-8627
Mailing Address - Country:US
Mailing Address - Phone:706-502-9404
Mailing Address - Fax:949-862-5384
Practice Address - Street 1:146 DEPOT ST STE 201
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-8627
Practice Address - Country:US
Practice Address - Phone:706-502-9404
Practice Address - Fax:949-862-5384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty