Cunningham, Jeff Jordan

Cunningham, Jeff Jordan is an individual health care provider with primary practice located at 7165 Getwell Rd Bldg H, Suite 1, Southaven MS 38672-9618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Cunningham, Jeff Jordan can be contacted via phone (662) 349-7676.

Contact Information

Primary practice address
7165 Getwell Rd Bldg H, Suite 1 Southaven MS 38672-9618
Phone: (662) 349-7676
Fax: (662) 349-7679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 20122 Mississippi
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 43312 Tennessee

Profile Details

NPI number 1073798781
LBN Legal business name Cunningham, Jeff Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2008
Last updated Mar 9th, 2016 - about 9 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 1073798781 NPPES
Mississippi MEDICAID 09123759

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