Perkins, Issac

Perkins, Issac is an individual health care provider with primary practice located at 1850 Chadwick Dr , Jackson MS 39204-3404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Perkins, Issac can be contacted via phone (601) 376-2832.

Contact Information

Primary practice address
1850 Chadwick Dr Jackson MS 39204-3404
Fax: (601) 936-1260
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11304 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 11304 Mississippi

Profile Details

NPI number 1336242239
LBN Legal business name Perkins, Issac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Oct 9th, 2018 - about 7 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 1336242239 NPPES
Mississippi MEDICAID 03559373
Mississippi Other P01237616

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