Smith, Mervyn P.
Smith, Mervyn P. is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine/Division Of Cardiology, Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Smith, Mervyn P. can be contacted via phone (601) 984-5630.Contact Information
Primary practice address
2500 North State Street Department Of Medicine/Division Of Cardiology
Jackson MS 39216-4500
Phone: (601) 984-5630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 07057 | Mississippi |
Profile Details
| NPI number | 1306868575 |
|---|---|
| LBN Legal business name | Smith, Mervyn P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Mar 18th, 2009 - 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 | 1306868575 | NPPES |
| Mississippi | Other | P00462325 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 01279231 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 1627861 | RAILROAD MEDICARE PTAN |
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