Cleland, William

Cleland, William is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Cleland, William can be contacted via phone (601) 984-5373.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5373
Fax: (601) 984-5476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 207VEO102X Mississippi

Profile Details

NPI number 1013948918
LBN Legal business name Cleland, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Oct 31st, 2012 - about 12 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 1013948918 NPPES
Mississippi Other 160059087 RR MEDICARE NUMBER
Mississippi MEDICAID 00126467 RR MEDICARE NUMBER
Mississippi Other 512G700003 RR MEDICARE NUMBER
Mississippi Other 08103071 RR MEDICARE NUMBER
Mississippi Other 512I160007 RR MEDICARE NUMBER
Mississippi MEDICAID 09014712 RR MEDICARE NUMBER

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