Ferris, Eugene B

Ferris, Eugene B is an individual health care provider with primary practice located at 2100 Highway 61 N , Vicksburg MS 39183-8211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ferris, Eugene B can be contacted via phone (601) 883-5000.

Contact Information

Primary practice address
2100 Highway 61 N Vicksburg MS 39183-8211
Phone: (601) 883-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 14254 Mississippi

Profile Details

NPI number 1235168626
LBN Legal business name Ferris, Eugene B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Sep 10th, 2020 - about 5 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 1235168626 NPPES
Mississippi Other 4636740 AETNA
Mississippi MEDICAID 0114431 AETNA
Mississippi MEDICAID 00114431 AETNA
Mississippi MEDICAID 1654418 AETNA

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