Hall, John Jacobs
Hall, John Jacobs is an individual health care provider with primary practice located at 15190 Community Rd Ste 260 , Gulfport MS 39503-3471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hall, John Jacobs can be contacted via phone (228) 762-4483.Contact Information
Primary practice address
15190 Community Rd Ste 260
Gulfport MS 39503-3471
Phone: (228) 762-4483
Fax: (228) 762-3147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25539 | Mississippi |
Profile Details
| NPI number | 1700132545 |
|---|---|
| LBN Legal business name | Hall, John Jacobs |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2012 |
| Last updated | Mar 2nd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700132545 | NPPES |
| Mississippi | MEDICAID | 06084255 |
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