Haltom, Joiner Mack
Haltom, Joiner Mack is an individual health care provider with primary practice located at 113 W Jackson St Ste B , Ridgeland MS 39157-2402. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Haltom, Joiner Mack can be contacted via phone (601) 354-4327.Contact Information
Primary practice address
113 W Jackson St Ste B
Ridgeland MS 39157-2402
Phone: (601) 354-4327
Fax: (601) 360-0822
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 11729 | Mississippi |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 11729 | Mississippi |
Profile Details
NPI number | 1699888628 |
---|---|
LBN Legal business name | Haltom, Joiner Mack |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2006 |
Last updated | Nov 15th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699888628 | NPPES |
Mississippi | MEDICAID | 0115705 |
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