Runnels, John Matthew
Runnels, John Matthew is an individual health care provider with primary practice located at 2510 Lakeland Dr , Flowood MS 39232-9513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Runnels, John Matthew can be contacted via phone (601) 355-1234.Contact Information
Primary practice address
2510 Lakeland Dr
Flowood MS 39232-9513
Phone: (601) 355-1234
Fax: (601) 326-3559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 19488 | Mississippi |
Profile Details
| NPI number | 1215149711 |
|---|---|
| LBN Legal business name | Runnels, John Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1215149711 | NPPES |
| Mississippi | MEDICAID | 06983066 |
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