Esposito, Domenic P

Esposito, Domenic P is an individual health care provider with primary practice located at 2500 N State St N703 Neurosurgery Department, Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Esposito, Domenic P can be contacted via phone (601) 984-5706.

Contact Information

Primary practice address
2500 N State St N703 Neurosurgery Department Jackson MS 39216-4500
Fax: (601) 984-6491
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 16712 Mississippi

Profile Details

NPI number 1578510962
LBN Legal business name Esposito, Domenic P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Nov 14th, 2008 - about 16 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 1578510962 NPPES
Mississippi Other 140000133 2007 MCR
Mississippi Other 140006643 2007 MCR
Mississippi MEDICAID 00122202 2007 MCR

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