Chustz, Philip Lamar
Chustz, Philip Lamar is an individual health care provider with primary practice located at 970 Lakeland Dr Suite 61, Jackson MS 39216-4635. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Chustz, Philip Lamar can be contacted via phone (601) 982-7850.Contact Information
Primary practice address
970 Lakeland Dr Suite 61
Jackson MS 39216-4635
Phone: (601) 982-7850
Fax: (601) 366-8507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19505 | Mississippi |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 19505 | Mississippi |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 19505 | Mississippi |
Profile Details
| NPI number | 1811198005 |
|---|---|
| LBN Legal business name | Chustz, Philip Lamar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Nov 15th, 2023 - about last year |
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 | 1811198005 | NPPES |
| Mississippi | Other | 0365941 | CIGNA |
| Mississippi | Other | P00757825 | CIGNA |
| Mississippi | Other | 6029053 | CIGNA |
| Mississippi | Other | 9911397 | CIGNA |
| Mississippi | MEDICAID | 05674733 | CIGNA |
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