Eze, Placid M

Eze, Placid M is an sole proprietor health care provider with primary practice located at 900 Stark Road , Starkville MS 39759-2539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eze, Placid M can be contacted via phone (662) 323-4400.

Contact Information

Primary practice address
900 Stark Road Starkville MS 39759-2539
Phone: (662) 323-4400
Fax: (662) 323-4409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16515 Mississippi

Profile Details

NPI number 1083601538
LBN Legal business name Eze, Placid M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Feb 23rd, 2011 - about 14 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 1083601538 NPPES
Mississippi Other 192773 DIABETES SELF MANAGEMENT TREATMENT CENTER
Mississippi Other 640940768 DIABETES SELF MANAGEMENT TREATMENT CENTER
Mississippi MEDICAID 09728046 DIABETES SELF MANAGEMENT TREATMENT CENTER
Mississippi MEDICAID 00122361 DIABETES SELF MANAGEMENT TREATMENT CENTER

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