Dennis, Jeffrey W

Dennis, Jeffrey W is an individual health care provider with primary practice located at 551 Azalea Dr , Oxford MS 38655-7900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dennis, Jeffrey W can be contacted via phone (662) 234-0332.

Contact Information

Primary practice address
551 Azalea Dr Oxford MS 38655-7900
Fax: (662) 234-2891
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17434 Mississippi

Profile Details

NPI number 1386750909
LBN Legal business name Dennis, Jeffrey W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Apr 4th, 2013 - about 11 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 1386750909 NPPES
Mississippi MEDICAID 126004
Mississippi Other 64-0606089

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