Girod, Wesley Glenn
Girod, Wesley Glenn is an individual health care provider with primary practice located at 139 Fairfield Drive , Hattiesburg MS 39402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Girod, Wesley Glenn can be contacted via phone (601) 450-2401.Contact Information
Primary practice address
139 Fairfield Drive
Hattiesburg MS 39402
Phone: (601) 450-2401
Fax: (601) 450-2434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 16791 | Mississippi |
Profile Details
| NPI number | 1992893911 |
|---|---|
| LBN Legal business name | Girod, Wesley Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Nov 16th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992893911 | NPPES |
| Mississippi | MEDICAID | 00122601 |
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