Daniel, Carlton Ralph
Daniel, Carlton Ralph is an individual health care provider with primary practice located at 971 Lakeland Dr 659, Jackson MS 39216-4609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Daniel, Carlton Ralph can be contacted via phone (601) 362-8514.Contact Information
Primary practice address
971 Lakeland Dr 659
Jackson MS 39216-4609
Phone: (601) 362-8514
Fax: (601) 366-7621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 7976 | Mississippi |
Profile Details
| NPI number | 1639104904 |
|---|---|
| LBN Legal business name | Daniel, Carlton Ralph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1639104904 | NPPES |
| Mississippi | MEDICAID | 00019627 |
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