Haltom, James R

Haltom, James R is an individual health care provider with primary practice located at 1513 Lakeland Dr Ste 101, Jackson MS 39216-4829. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Haltom, James R can be contacted via phone (601) 354-4836.

Contact Information

Primary practice address
1513 Lakeland Dr Ste 101 Jackson MS 39216-4829
Phone: (601) 354-4836
Fax: (601) 354-2619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 08739 Mississippi

Profile Details

NPI number 1710965694
LBN Legal business name Haltom, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Feb 15th, 2010 - 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 1710965694 NPPES
Mississippi MEDICAID 00114795

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