King, Madelyn B

King, Madelyn B is an individual health care provider with primary practice located at 2323 5Th St N , Columbus MS 39705-2213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Madelyn B can be contacted via phone (662) 368-1169.

Contact Information

Primary practice address
2323 5Th St N Columbus MS 39705-2213
Phone: (662) 368-1169
Fax: (662) 570-1492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 862819 Mississippi

Profile Details

NPI number 1861420978
LBN Legal business name King, Madelyn B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Aug 28th, 2019 - about 6 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 1861420978 NPPES
Mississippi MEDICAID 03659286

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