Mennefield, Dwayne Patrick
Mennefield, Dwayne Patrick is an sole proprietor health care provider with primary practice located at 977 Ellis Ave , Jackson MS 39209-6256. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Mennefield, Dwayne Patrick can be contacted via phone (601) 944-9965.Contact Information
Primary practice address
977 Ellis Ave
Jackson MS 39209-6256
Phone: (601) 944-9965
Fax: (601) 969-6419
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Ambulatory Care | 1835P2201X | E-08306 | Mississippi |
Profile Details
NPI number | 1407560212 |
---|---|
LBN Legal business name | Mennefield, Dwayne Patrick |
Credentials | RPH |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 6th, 2023 |
Last updated | Jan 6th, 2023 - about last year |
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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