Fernstrum, Colton

Fernstrum, Colton is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Fernstrum, Colton can be contacted via phone (601) 984-4124.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-4124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X T-4271 Mississippi

Profile Details

NPI number 1720661440
LBN Legal business name Fernstrum, Colton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2021
Last updated Jul 1st, 2021 - about 3 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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