Coon, David T

Coon, David T is an individual health care provider with primary practice located at 1487 Belk Blvd , Oxford MS 38655-5371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Coon, David T can be contacted via phone (662) 234-1090.

Contact Information

Primary practice address
1487 Belk Blvd Oxford MS 38655-5371
Fax: (662) 234-0432
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13516 Mississippi

Profile Details

NPI number 1407962103
LBN Legal business name Coon, David T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1407962103 NPPES
Mississippi MEDICAID 00027799

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