Carpenter, Julie J

Carpenter, Julie J is an individual health care provider with primary practice located at 3451 Goodman Rd E Ste 115 , Southaven MS 38672-9304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Carpenter, Julie J can be contacted via phone (662) 890-5555.

Contact Information

Primary practice address
3451 Goodman Rd E Ste 115 Southaven MS 38672-9304
Fax: (662) 890-8899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17222 Mississippi

Profile Details

NPI number 1497757520
LBN Legal business name Carpenter, Julie J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 29th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497757520 NPPES
Mississippi Other P00181717 MEDICARE RAILROAD

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