Schlakman, Bruce N
Schlakman, Bruce N is an sole proprietor health care provider with primary practice located at 2500 N State Street , Jackson MS 39216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Schlakman, Bruce N can be contacted via phone (601) 984-2538.Contact Information
Primary practice address
2500 N State Street
Jackson MS 39216
Phone: (601) 984-2538
Fax: (601) 815-1854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME63631 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME63631 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 20032 | Mississippi |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 20032 | Mississippi |
Profile Details
| NPI number | 1093815565 |
|---|---|
| LBN Legal business name | Schlakman, Bruce N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Apr 1st, 2014 - about 10 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 | 1093815565 | NPPES |
| Other | P00604717 | RAILROAD MEDICARE | |
| Other | P01198276 | RAILROAD MEDICARE | |
| MEDICAID | 157266 | RAILROAD MEDICARE | |
| MEDICAID | 375193701 | RAILROAD MEDICARE | |
| Other | 512G700003 | RAILROAD MEDICARE | |
| Other | DG7781 | RAILROAD MEDICARE |
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