Mccearley, Sandra Speckels
Mccearley, Sandra Speckels is an individual health care provider with primary practice located at 970 Lakeland Dr Ste 61 , Jackson MS 39216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Mccearley, Sandra Speckels can be contacted via phone (601) 982-7850.Contact Information
Primary practice address
970 Lakeland Dr Ste 61
Jackson MS 39216
Phone: (601) 982-7850
Fax: (601) 366-8507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2012013479 | Missouri |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 2012013479 | Missouri |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 19433 | Mississippi |
Profile Details
| NPI number | 1861590457 |
|---|---|
| LBN Legal business name | Mccearley, Sandra Speckels |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 11th, 2021 - about 3 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 | 1861590457 | NPPES |
| Mississippi | MEDICAID | 05002037 | |
| Mississippi | Other | 7666474 | |
| Mississippi | Other | 9818622 | |
| Mississippi | Other | 6039138 |
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