Bethea, John W

Bethea, John W 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 / Anesthesiology, which is considered as his primary health care specialty. Bethea, John W can be contacted via phone (601) 984-5900.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5900
Fax: (601) 984-5939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35077616 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 13990 Mississippi

Profile Details

NPI number 1568462141
LBN Legal business name Bethea, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Feb 20th, 2014 - about 10 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 1568462141 NPPES
Mississippi MEDICAID 09855207
Mississippi MEDICAID 156052
Mississippi MEDICAID 2214142

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