Burnett, Walter M
Burnett, Walter M is an sole proprietor health care provider with primary practice located at 823 Grand Ave , Yazoo City MS 39194-3233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burnett, Walter M can be contacted via phone (662) 751-8289.Contact Information
Primary practice address
823 Grand Ave
Yazoo City MS 39194-3233
Phone: (662) 751-8289
Fax: (662) 751-8279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 09770 | Mississippi |
Profile Details
| NPI number | 1093801227 |
|---|---|
| LBN Legal business name | Burnett, Walter M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Nov 29th, 2018 - about 8 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 | 1093801227 | NPPES |
| Mississippi | MEDICAID | 00114468 |
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