Agnone, John H

Agnone, John H is an individual health care provider with primary practice located at 1340 Broad Ave Suite 420, Gulfport MS 39501. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Agnone, John H can be contacted via phone (228) 575-1500.

Contact Information

Primary practice address
1340 Broad Ave Suite 420 Gulfport MS 39501
Phone: (228) 575-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2003000089 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 20943 Mississippi
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 20943 Mississippi

Profile Details

NPI number 1346311404
LBN Legal business name Agnone, John H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2006
Last updated Sep 5th, 2018 - about 6 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 1346311404 NPPES
Arkansas MEDICAID 149403001
Arkansas MEDICAID 09206796
Arkansas MEDICAID 208427401

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