Brohawn, William Ensor
Brohawn, William Ensor is an individual health care provider with primary practice located at 3018 Plantation Cir W , Tupelo MS 38804-9717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brohawn, William Ensor can be contacted via phone (662) 401-5123.Contact Information
Primary practice address
3018 Plantation Cir W
Tupelo MS 38804-9717
Phone: (662) 401-5123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16756 | Mississippi |
Profile Details
| NPI number | 1164480109 |
|---|---|
| LBN Legal business name | Brohawn, William Ensor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jul 9th, 2010 - about 15 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 | 1164480109 | NPPES |
| Maine | MEDICAID | 00122484 |
Popular Providers
-
Fortenberry, Frank
845 S Madison St , Tupelo MS 38801-4905 -
Taylor, Pami Jo
1265 Cliff Gookin Blvd , Tupelo MS 38801-6749 -
Albers, Timothy Allen
844 S Madison St , Tupelo MS 38801-4904 -
Pace, Mary Ellis
1265 Cliff Gookin Blvd , Tupelo MS 38801-6749 -
Wallace, Melanie
845 S Madison St , Tupelo MS 38801-4905 -
Loden, Julian Dale
1265 Cliff Gookin Blvd , Tupelo MS 38801-6749 -
Russell, Brady
845 S Madison St , Tupelo MS 38801-4905 -
Matthews, John Mark
845 S Madison St , Tupelo MS 38801-4905