Causey, Jack Q

Causey, Jack Q is an individual health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Causey, Jack Q can be contacted via phone (228) 867-4000.

Contact Information

Primary practice address
4500 13Th St Gulfport MS 39501-2515
Fax: (228) 575-2380
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11872 Mississippi
Other Service Providers / Specialist 174400000X 11872 Mississippi

Profile Details

NPI number 1790777142
LBN Legal business name Causey, Jack Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2005
Last updated Nov 7th, 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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