Parker, Ellen E

Parker, Ellen E is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Parker, Ellen E can be contacted via phone (601) 984-2538.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-2538
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X A93445 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 23737 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A93445 California
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 23737 Mississippi

Profile Details

NPI number 1225186349
LBN Legal business name Parker, Ellen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Dec 17th, 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 1225186349 NPPES
Louisiana MEDICAID 2406388
Louisiana MEDICAID 191137
Louisiana MEDICAID 07988755

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