Jones, Samuel
Jones, Samuel is an sole proprietor health care provider with primary practice located at 102 Woodchase Park Dr , Clinton MS 39056-4113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jones, Samuel can be contacted via phone (601) 924-7043.Contact Information
Primary practice address
102 Woodchase Park Dr
Clinton MS 39056-4113
Phone: (601) 924-7043
Fax: (601) 924-4546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 09707 | Mississippi |
Profile Details
| NPI number | 1245268937 |
|---|---|
| LBN Legal business name | Jones, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Apr 25th, 2008 - about 17 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 | 1245268937 | NPPES |
| Mississippi | MEDICAID | 00012574 |
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