Letort, Derek
Letort, Derek is an individual health care provider with primary practice located at 1200 N State St Ste 420 , Jackson MS 39202-2027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Letort, Derek can be contacted via phone (601) 355-3353.Contact Information
Primary practice address
1200 N State St Ste 420
Jackson MS 39202-2027
Phone: (601) 355-3353
Fax: (601) 355-3365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 20226 | Mississippi |
Profile Details
| NPI number | 1023202272 |
|---|---|
| LBN Legal business name | Letort, Derek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Jul 8th, 2020 - about 5 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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