Hassell, John

Hassell, John is an individual health care provider with primary practice located at 1440 Jefferson St , Laurel MS 39440-4243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hassell, John can be contacted via phone (601) 428-0577.

Contact Information

Primary practice address
1440 Jefferson St Laurel MS 39440-4243
Fax: (601) 649-7962
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 06731 Mississippi

Profile Details

NPI number 1235178997
LBN Legal business name Hassell, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 24th, 2014 - about 10 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 1235178997 NPPES
Mississippi Other 512I080161 MEDICARE PTAN
Mississippi MEDICAID 00116463 MEDICARE PTAN

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