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
Phone: (662) 378-3600
Fax: (662) 335-3712
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962586131 | NPPES |
Mississippi | MEDICAID | 09030707 |
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