Cranston, Philip Edwin
Cranston, Philip Edwin is an sole proprietor 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 / Diagnostic Radiology, which is considered as his primary health care specialty. Cranston, Philip Edwin can be contacted via phone (601) 984-2538.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216-4500
Phone: (601) 984-2538
Fax: (601) 815-1854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 05972 | Mississippi |
Profile Details
| NPI number | 1194760850 |
|---|---|
| LBN Legal business name | Cranston, Philip Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Sep 10th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194760850 | NPPES |
| Mississippi | Other | P00462179 | RAILROAD MEDICARE |
| Mississippi | Other | 512G700003 | RAILROAD MEDICARE |
| Mississippi | Other | P01198271 | RAILROAD MEDICARE |
| Mississippi | Other | 300071336 | RAILROAD MEDICARE |
| Mississippi | MEDICAID | 00124000 | RAILROAD MEDICARE |
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