Powell, Stella M

Powell, Stella M is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Powell, Stella M can be contacted via phone (601) 984-2538.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-2538
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 00026948 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 39819 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 17106 Mississippi

Profile Details

NPI number 1922052711
LBN Legal business name Powell, Stella M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 28th, 2016 - about 8 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 1922052711 NPPES
Alabama Other 510-03463 BCBS AL
Alabama MEDICAID 009936784 BCBS AL
Alabama MEDICAID 2836971 BCBS AL
Alabama Other P01687354 BCBS AL
Alabama MEDICAID 00884849 BCBS AL
Alabama MEDICAID 3810011689 BCBS AL
Alabama MEDICAID 7100041260 BCBS AL
Alabama Other P00338270 BCBS AL

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