Loden, Julian Dale
Loden, Julian Dale is an individual health care provider with primary practice located at 1265 Cliff Gookin Blvd , Tupelo MS 38801-6749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Loden, Julian Dale can be contacted via phone (662) 840-2131.Contact Information
Primary practice address
1265 Cliff Gookin Blvd
Tupelo MS 38801-6749
Phone: (662) 840-2131
Fax: (662) 840-2522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13898 | Mississippi |
Profile Details
| NPI number | 1932155538 |
|---|---|
| LBN Legal business name | Loden, Julian Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Dec 22nd, 2011 - about 14 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 | 1932155538 | NPPES |
| Mississippi | MEDICAID | 00116544 |
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