Conerly, Donald V

Conerly, Donald V is an individual health care provider with primary practice located at 50 Parkway Ln , Petal MS 39465-3035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conerly, Donald V can be contacted via phone (601) 705-2897.

Contact Information

Primary practice address
50 Parkway Ln Petal MS 39465-3035
Phone: (601) 705-2897
Fax: (601) 584-6457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 07182 Mississippi

Profile Details

NPI number 1497761241
LBN Legal business name Conerly, Donald V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2020 - about 6 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 1497761241 NPPES
Mississippi Other 1558930 AMERICAN ADMIN GROUP
Mississippi MEDICAID 1782271 AMERICAN ADMIN GROUP
Mississippi MEDICAID 00016765 AMERICAN ADMIN GROUP
Mississippi Other 012920837 AMERICAN ADMIN GROUP

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