Bryant, Edward E
Bryant, Edward E is an individual health care provider with primary practice located at 530 Veterans Memorial Dr , Kosciusko MS 39090-3858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bryant, Edward E can be contacted via phone (662) 289-9155.Contact Information
Primary practice address
530 Veterans Memorial Dr
Kosciusko MS 39090-3858
Phone: (662) 289-9155
Fax: (662) 289-7752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 07286 | Mississippi |
Profile Details
| NPI number | 1154478410 |
|---|---|
| LBN Legal business name | Bryant, Edward E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Apr 28th, 2014 - about 11 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 | 1154478410 | NPPES |
| Mississippi | MEDICAID | 09016283 | |
| Mississippi | MEDICAID | 00127015 |
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