Pitts, Terry
Pitts, Terry is an individual health care provider with primary practice located at 1440 Jefferson St , Laurel MS 39440-4243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pitts, Terry can be contacted via phone (601) 428-0577.Contact Information
Primary practice address
1440 Jefferson St
Laurel MS 39440-4243
Phone: (601) 428-0577
Fax: (601) 649-7962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13201 | Mississippi |
Profile Details
| NPI number | 1699714311 |
|---|---|
| LBN Legal business name | Pitts, Terry |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Dec 4th, 2012 - about 12 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 | 1699714311 | NPPES |
| Mississippi | MEDICAID | 00115316 |
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