Nielsen, Mindy
Nielsen, Mindy is an sole proprietor health care provider with primary practice located at 204 Wm Chipley St , Carthage MS 39051-4256. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Nielsen, Mindy can be contacted via phone (601) 267-3072.Contact Information
Primary practice address
204 Wm Chipley St
Carthage MS 39051-4256
Phone: (601) 267-3072
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | R515183 | Mississippi |
Profile Details
NPI number | 1033299946 |
---|---|
LBN Legal business name | Nielsen, Mindy |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 16th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1033299946 | NPPES |
Mississippi | MEDICAID | 00124002 |
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