Brunt, Joel Roy
Brunt, Joel Roy is an individual health care provider with primary practice located at 2712 Criswell Ave , Pascagoula MS 39567-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Brunt, Joel Roy can be contacted via phone (228) 762-0713.Contact Information
Primary practice address
2712 Criswell Ave
Pascagoula MS 39567-1143
Phone: (228) 762-0713
Fax: (228) 762-0712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MS09811 | Mississippi |
Profile Details
| NPI number | 1689672156 |
|---|---|
| LBN Legal business name | Brunt, Joel Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1689672156 | NPPES |
| Mississippi | MEDICAID | 00117494 |
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