Maposa, Douglas

Maposa, Douglas is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Maposa, Douglas can be contacted via phone (601) 984-6426.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-6426
Fax: (601) 984-6439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X FTL 41682 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X FTL 42151 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X FTL 42574 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 22415 Mississippi

Profile Details

NPI number 1023052669
LBN Legal business name Maposa, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Apr 4th, 2014 - 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 1023052669 NPPES
Mississippi MEDICAID 01029083
Mississippi MEDICAID 159967201
Mississippi Other 8G8347
Mississippi MEDICAID 156827
Mississippi Other 159967202

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