House, James Robert

House, James Robert is an sole proprietor health care provider with primary practice located at 290 E Layfair Dr , Flowood MS 39232-9526. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. House, James Robert can be contacted via phone (601) 981-2825.

Contact Information

Primary practice address
290 E Layfair Dr Flowood MS 39232-9526
Fax: (601) 981-2827
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11369 Mississippi

Profile Details

NPI number 1588763197
LBN Legal business name House, James Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 7th, 2020 - about 5 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 1588763197 NPPES
Mississippi MEDICAID 04586854

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