Dement, Frank Eugene

Dement, Frank Eugene is an individual health care provider with primary practice located at 2313 Highway 15 N , Laurel MS 39440-1805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dement, Frank Eugene can be contacted via phone (601) 649-2775.

Contact Information

Primary practice address
2313 Highway 15 N Laurel MS 39440-1805
Phone: (601) 649-2775
Fax: (601) 649-2686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 05102 Mississippi

Profile Details

NPI number 1366686354
LBN Legal business name Dement, Frank Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2009
Last updated Sep 3rd, 2009 - about 15 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 1366686354 NPPES
Mississippi MEDICAID 06438003
Mississippi Other 6026209
Mississippi Other 6635899
Mississippi Other 5405398

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