Quinones, Edwin M

Quinones, Edwin M is an individual health care provider with primary practice located at 4300B W Railroad St , Gulfport MS 39501-2568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Quinones, Edwin M can be contacted via phone (228) 863-7393.

Contact Information

Primary practice address
4300B W Railroad St Gulfport MS 39501-2568
Phone: (228) 863-7393
Fax: (228) 868-6643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 13479 Mississippi

Profile Details

NPI number 1902895352
LBN Legal business name Quinones, Edwin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 10th, 2014 - about 11 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 1902895352 NPPES
Other 390004447 RAILROAD MEDICARE
MEDICAID 118272 RAILROAD MEDICARE

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