Moak, Joseph Samuel
Moak, Joseph Samuel is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine Div General Internal Medicine, Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moak, Joseph Samuel can be contacted via phone (601) 984-5660.Contact Information
Primary practice address
2500 North State Street Department Of Medicine Div General Internal Medicine
Jackson MS 39216-4500
Phone: (601) 984-5660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 08390 | Mississippi |
Profile Details
| NPI number | 1184667800 |
|---|---|
| LBN Legal business name | Moak, Joseph Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Mar 5th, 2008 - about 17 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 | 1184667800 | NPPES |
| Mississippi | MEDICAID | 08775083 |
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