Dreisbach, Albert W

Dreisbach, Albert W is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine Division Of Nephrology, Jackson MS 39216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dreisbach, Albert W can be contacted via phone (601) 984-5687.

Contact Information

Primary practice address
2500 North State Street Department Of Medicine Division Of Nephrology Jackson MS 39216
Phone: (601) 984-5687
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 19442 Mississippi

Profile Details

NPI number 1144257460
LBN Legal business name Dreisbach, Albert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Mar 7th, 2014 - 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 1144257460 NPPES
Mississippi MEDICAID 00123182
Mississippi MEDICAID 156408
Mississippi MEDICAID 116796
Mississippi MEDICAID 1487872

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