Baldwin, Jeremiah John

Baldwin, Jeremiah John is an sole proprietor health care provider with primary practice located at 5303 Marvin Shields Blvd , Gulfport MS 39501-9013. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Baldwin, Jeremiah John can be contacted via phone (228) 822-5790.

Contact Information

Primary practice address
5303 Marvin Shields Blvd Gulfport MS 39501-9013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1427316041
LBN Legal business name Baldwin, Jeremiah John
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2012
Last updated Jun 10th, 2012 - about 12 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.

Request for update

Popular Providers