Eldred, Edward Burris
Eldred, Edward Burris is an individual health care provider with primary practice located at 9075 Sandidge Center Cv , Olive Branch MS 38654-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eldred, Edward Burris can be contacted via phone (662) 895-4949.Contact Information
Primary practice address
9075 Sandidge Center Cv
Olive Branch MS 38654-3514
Phone: (662) 895-4949
Fax: (662) 895-6776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21066 | Mississippi |
Profile Details
| NPI number | 1699975425 |
|---|---|
| LBN Legal business name | Eldred, Edward Burris |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Dec 21st, 2020 - about 6 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 | 1699975425 | NPPES |
| Mississippi | Other | 510455609 | TID |
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