Hey, John Phenis
Hey, John Phenis is an sole proprietor health care provider with primary practice located at 405 River Rd , Greenwood MS 38930-4212. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Hey, John Phenis can be contacted via phone (662) 453-6177.Contact Information
Primary practice address
405 River Rd
Greenwood MS 38930-4212
Phone: (662) 453-6177
Fax: (662) 453-7787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4986 | Mississippi |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | 4986 | Mississippi |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 4986 | Mississippi |
Profile Details
| NPI number | 1659388585 |
|---|---|
| LBN Legal business name | Hey, John Phenis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jan 4th, 2023 - about 2 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 | 1659388585 | NPPES |
| Mississippi | MEDICAID | 00012178 |
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