Bynum, Stephanie Diane
Bynum, Stephanie Diane is an individual health care provider with primary practice located at 4209 Lincoln Road , Hattiesburg MS 39402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bynum, Stephanie Diane can be contacted via phone (601) 579-5400.Contact Information
Primary practice address
4209 Lincoln Road
Hattiesburg MS 39402
Phone: (601) 579-5400
Fax: (601) 261-3521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21478 | Mississippi |
Profile Details
| NPI number | 1609041532 |
|---|---|
| LBN Legal business name | Bynum, Stephanie Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Jul 20th, 2020 - about 5 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 | 1609041532 | NPPES |
| Mississippi | Other | 3310130 | UNITED HEALTHCARE |
| Mississippi | MEDICAID | 02477395 | UNITED HEALTHCARE |
| Mississippi | Other | 9540683 | UNITED HEALTHCARE |
| Mississippi | Other | 6046096 | UNITED HEALTHCARE |
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