Shatley, Miriam J.
Shatley, Miriam J. is an sole proprietor health care provider with primary practice located at 108 Belle Meade Pointe , Flowood MS 39232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Shatley, Miriam J. can be contacted via phone (601) 992-7002.Contact Information
Primary practice address
108 Belle Meade Pointe
Flowood MS 39232
Phone: (601) 992-7002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 14462 | Mississippi |
Profile Details
| NPI number | 1235154121 |
|---|---|
| LBN Legal business name | Shatley, Miriam J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1235154121 | NPPES |
| Mississippi | Other | 14462 | STATE MEDICAL LICENSE ## |
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