Bofill, James

Bofill, James 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 / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Bofill, James can be contacted via phone (601) 984-5373.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax: (601) 984-5476
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 13854 Mississippi

Profile Details

NPI number 1033154935
LBN Legal business name Bofill, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Dec 8th, 2015 - 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 1033154935 NPPES
Mississippi MEDICAID 00120739
Mississippi Other 160045198
Mississippi Other 512I160013
Mississippi Other 08103071
Mississippi MEDICAID 178580
Mississippi Other 302I167014
Mississippi Other 512G700003

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