Imperial, Antonio Jaime Torres

Imperial, Antonio Jaime Torres is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Imperial, Antonio Jaime Torres can be contacted via phone (601) 288-4329.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 288-4329
Fax: (601) 288-3191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 19010 Mississippi

Profile Details

NPI number 1902867021
LBN Legal business name Imperial, Antonio Jaime Torres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Aug 23rd, 2016 - about 8 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 1902867021 NPPES
Mississippi Other 640507572ZW AMERICAN ADMIN GROUP
Mississippi MEDICAID 07835294 AMERICAN ADMIN GROUP
Mississippi MEDICAID 1501131 AMERICAN ADMIN GROUP
Mississippi Other P00272265 AMERICAN ADMIN GROUP

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