Harrison, Newt Parks
Harrison, Newt Parks is an individual health care provider with primary practice located at 440 Pegram Dr , Tupelo MS 38801-6319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Harrison, Newt Parks can be contacted via phone (662) 844-5344.Contact Information
Primary practice address
440 Pegram Dr
Tupelo MS 38801-6319
Phone: (662) 844-5344
Fax: (662) 844-5363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 15992 | Mississippi |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 15992 | Mississippi |
Profile Details
| NPI number | 1285619163 |
|---|---|
| LBN Legal business name | Harrison, Newt Parks |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285619163 | NPPES |
| Mississippi | MEDICAID | 00126134 |
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