Jaiwatana, Jaisiri

Jaiwatana, Jaisiri is an individual health care provider with primary practice located at 1500 E. Woodrow Wilson Drive , Jackson MS 39216-5199. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jaiwatana, Jaisiri can be contacted via phone (601) 362-4471.

Contact Information

Primary practice address
1500 E. Woodrow Wilson Drive Jackson MS 39216-5199
Phone: (601) 362-4471
Fax: (601) 364-1588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD9250 District of Columbia

Profile Details

NPI number 1295760049
LBN Legal business name Jaiwatana, Jaisiri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 18 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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