Hellums, Michael Shawn
Hellums, Michael Shawn is an individual health care provider with primary practice located at 205 House Carlson Dr , Batesville MS 38606-7643. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hellums, Michael Shawn can be contacted via phone (662) 561-1234.Contact Information
Primary practice address
205 House Carlson Dr
Batesville MS 38606-7643
Phone: (662) 561-1234
Fax: (662) 729-4510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 649 | Mississippi |
Profile Details
| NPI number | 1083659684 |
|---|---|
| LBN Legal business name | Hellums, Michael Shawn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Dec 10th, 2014 - about 11 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 | 1083659684 | NPPES |
| Mississippi | MEDICAID | 03734792 |
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