Allen, Bret Carter
Allen, Bret Carter is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Allen, Bret Carter can be contacted via phone (601) 984-1530.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216-4500
Phone: (601) 984-1530
Fax: (601) 984-1531
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 10081 | Mississippi |
Profile Details
NPI number | 1639115769 |
---|---|
LBN Legal business name | Allen, Bret Carter |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2006 |
Last updated | Sep 11th, 2008 - about 16 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 | 1639115769 | NPPES |
Mississippi | Other | 220009294 | RR MEDICARE |
Mississippi | MEDICAID | 00017054 | RR MEDICARE |
Mississippi | Other | P00601994 | RR MEDICARE |
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