Chrisman, James Leland

Chrisman, James Leland is an individual health care provider with primary practice located at 1043 S Madison St , Tupelo MS 38801-6309. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Chrisman, James Leland can be contacted via phone (662) 842-8200.

Contact Information

Primary practice address
1043 S Madison St Tupelo MS 38801-6309
Fax: (662) 844-3157
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X MS2816-94 Mississippi

Profile Details

NPI number 1689680266
LBN Legal business name Chrisman, James Leland
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 9th, 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 1689680266 NPPES
Mississippi MEDICAID 0660076

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