Robertson, Denzil G
Robertson, Denzil G is an individual health care provider with primary practice located at 1850 Chadwick Dr , Jackson MS 39204-3404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Robertson, Denzil G can be contacted via phone (601) 376-2022.Contact Information
Primary practice address
1850 Chadwick Dr
Jackson MS 39204-3404
Phone: (601) 376-2022
Fax: (601) 376-1816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15027 | Mississippi |
Profile Details
| NPI number | 1679517411 |
|---|---|
| LBN Legal business name | Robertson, Denzil G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Feb 1st, 2008 - about 16 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 | 1679517411 | NPPES |
| Mississippi | MEDICAID | 00117375 |
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