Dodd, John Edwin

Dodd, John Edwin is an sole proprietor health care provider with primary practice located at 1151 N State St Suite 311A, Jackson MS 39202-0200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Dodd, John Edwin can be contacted via phone (601) 355-7246.

Contact Information

Primary practice address
1151 N State St Suite 311A Jackson MS 39202-0200
Phone: (601) 355-7246
Fax: (601) 969-1173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 10764 Mississippi
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 10764 Mississippi

Profile Details

NPI number 1619020401
LBN Legal business name Dodd, John Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Aug 26th, 2022 - about 2 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 1619020401 NPPES
Mississippi MEDICAID 00018622

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