Burton, Elmertha D.

Burton, Elmertha D. is an sole proprietor health care provider with primary practice located at 129 E Starling St , Greenville MS 38701-4725. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Burton, Elmertha D. can be contacted via phone (662) 378-3600.

Contact Information

Primary practice address
129 E Starling St Greenville MS 38701-4725
Fax: (662) 335-3712
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11258 Mississippi

Profile Details

NPI number 1962586131
LBN Legal business name Burton, Elmertha D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1962586131 NPPES
Mississippi MEDICAID 09030707

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