Jones, Matthew Brian
Jones, Matthew Brian is an sole proprietor health care provider with primary practice located at 30 Circle J Dr Suite 1, Laurel MS 39440-1980. He recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Jones, Matthew Brian can be contacted via phone (601) 425-0092.Contact Information
Primary practice address
30 Circle J Dr Suite 1
Laurel MS 39440-1980
Phone: (601) 425-0092
Fax: (601) 425-0473
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 17025 | Mississippi |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17025 | Mississippi |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 17025 | Mississippi |
Profile Details
NPI number | 1013001189 |
---|---|
LBN Legal business name | Jones, Matthew Brian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2006 |
Last updated | Feb 12th, 2020 - about 4 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 | 1013001189 | NPPES |
Mississippi | MEDICAID | 00126035 |
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