Ewing, Henry Patelford

Ewing, Henry Patelford is an individual health care provider with primary practice located at 830 S Gloster St Nmmc East Tower 4Th Floor, Tupelo MS 38801-4934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Ewing, Henry Patelford can be contacted via phone (662) 377-7170.

Contact Information

Primary practice address
830 S Gloster St Nmmc East Tower 4Th Floor Tupelo MS 38801-4934
Fax: (662) 377-2423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 07411 Mississippi

Profile Details

NPI number 1558361519
LBN Legal business name Ewing, Henry Patelford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 8th, 2007 - about 18 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 1558361519 NPPES
Mississippi MEDICAID 00115754
Mississippi Other 730-01060

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