Anderson, Percy L

Anderson, Percy L is an sole proprietor health care provider with primary practice located at 1815 Hospital Dr Suite 434, Jackson MS 39204-3425. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Anderson, Percy L can be contacted via phone (601) 502-1100.

Contact Information

Primary practice address
1815 Hospital Dr Suite 434 Jackson MS 39204-3425
Phone: (601) 502-1100
Fax: (601) 502-0111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 80107 Mississippi

Profile Details

NPI number 1982792198
LBN Legal business name Anderson, Percy L
Credentials D.P.M., C.W.S., CMET
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Apr 1st, 2016 - about 9 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 1982792198 NPPES
Mississippi Other 640813898 UNITED HEALTH CARE
Mississippi Other 640813898 UNITED HEALTH CARE
Mississippi Other 640813898 UNITED HEALTH CARE
Mississippi MEDICAID 05984200 UNITED HEALTH CARE
Mississippi Other 640813898 UNITED HEALTH CARE

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