Alexander, Myrna
Alexander, Myrna is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Alexander, Myrna can be contacted via phone (601) 984-5678.Contact Information
Primary practice address
2500 North State Street
Jackson MS 39216-4608
Phone: (601) 984-5678
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14525 | Mississippi |
Profile Details
NPI number | 1285648063 |
---|---|
LBN Legal business name | Alexander, Myrna |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2006 |
Last updated | Oct 10th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285648063 | NPPES |
Mississippi | MEDICAID | 0115251 | |
Mississippi | MEDICAID | 138225 |
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