Sosa, Jose Alfredo

Sosa, Jose Alfredo is an individual health care provider with primary practice located at 1225 N State St Dept. Of Surgery, Jackson MS 39202-2064. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Sosa, Jose Alfredo can be contacted via phone (601) 968-6137.

Contact Information

Primary practice address
1225 N State St Dept. Of Surgery Jackson MS 39202-2064
Phone: (601) 968-6137
Fax: (601) 968-4133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA039 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA3654 Florida

Profile Details

NPI number 1508881822
LBN Legal business name Sosa, Jose Alfredo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508881822 NPPES
Mississippi MEDICAID 08478237
Mississippi Other 347887903

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