Roberts, James E

Roberts, James E is an individual health care provider with primary practice located at 439 N Jackson St Ste D , Brookhaven MS 39601-2912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roberts, James E can be contacted via phone (601) 833-2222.

Contact Information

Primary practice address
439 N Jackson St Ste D Brookhaven MS 39601-2912
Phone: (601) 833-2222
Fax: (601) 823-3073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13205 Mississippi

Profile Details

NPI number 1083628291
LBN Legal business name Roberts, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated May 7th, 2018 - about 6 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 1083628291 NPPES
Mississippi Other 110174128 RAILROAD PROVIDER NO.
Mississippi MEDICAID 09015497 RAILROAD PROVIDER NO.

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