Myers, Mitchell Jeffrey

Myers, Mitchell Jeffrey is an sole proprietor health care provider with primary practice located at 971 Lakeland Dr Ste 557 , Jackson MS 39216-4661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Myers, Mitchell Jeffrey can be contacted via phone (601) 200-4560.

Contact Information

Primary practice address
971 Lakeland Dr Ste 557 Jackson MS 39216-4661
Fax: (601) 200-4580
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 10213 Mississippi

Profile Details

NPI number 1386784239
LBN Legal business name Myers, Mitchell Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated May 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386784239 NPPES
Mississippi MEDICAID 0112521

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