Pavlov, Paul M
Pavlov, Paul M is an individual health care provider with primary practice located at 15012 Lemoyne Blvd , Biloxi MS 39532-5205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pavlov, Paul M can be contacted via phone (228) 392-5050.Contact Information
Primary practice address
15012 Lemoyne Blvd
Biloxi MS 39532-5205
Phone: (228) 392-5050
Fax: (229) 392-5342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 09593 | Mississippi |
Profile Details
| NPI number | 1093755795 |
|---|---|
| LBN Legal business name | Pavlov, Paul M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Nov 16th, 2011 - about 13 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 | 1093755795 | NPPES |
| Mississippi | MEDICAID | 000014367 |
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