Pollock, Jonathan Patrick
Pollock, Jonathan Patrick is an individual health care provider with primary practice located at 301 Fisher St , Keesler Afb MS 39534-2508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pollock, Jonathan Patrick can be contacted via phone (228) 376-3811.Contact Information
Primary practice address
301 Fisher St
Keesler Afb MS 39534-2508
Phone: (228) 376-3811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 29281 | Mississippi |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101259514 | Virginia |
Profile Details
| NPI number | 1558785782 |
|---|---|
| LBN Legal business name | Pollock, Jonathan Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2014 |
| Last updated | May 6th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558785782 | NPPES |
| Mississippi | MEDICAID | 05684216 |
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