Hausmann, Jan M

Hausmann, Jan M is an individual health care provider with primary practice located at 350 W Woodrow Wilson Ave Jackson-Hinds Comprehensive Health Center, Jackson MS 39213-7681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hausmann, Jan M can be contacted via phone (601) 709-5130.

Contact Information

Primary practice address
350 W Woodrow Wilson Ave Jackson-Hinds Comprehensive Health Center Jackson MS 39213-7681
Fax: (601) 709-5141
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13821 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L9234 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16219 Mississippi

Profile Details

NPI number 1881673648
LBN Legal business name Hausmann, Jan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jun 2nd, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881673648 NPPES
Mississippi MEDICAID 07303594

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