Joseph, Joseph Joseph

Joseph, Joseph Joseph is an individual health care provider with primary practice located at 100 Airport Rd S , Pearl MS 39208-6654. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Joseph, Joseph Joseph can be contacted via phone (601) 939-3753.

Contact Information

Primary practice address
100 Airport Rd S Pearl MS 39208-6654
Phone: (601) 939-3753
Fax: (601) 936-6586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 410 Mississippi

Profile Details

NPI number 1760547574
LBN Legal business name Joseph, Joseph Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Nov 29th, 2016 - about 10 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 1760547574 NPPES
Mississippi MEDICAID 0087245

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