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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558785782 NPPES
Mississippi MEDICAID 05684216

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