Tadlock, Rachael F
Tadlock, Rachael F is an individual health care provider with primary practice located at 1721 Medical Park Dr Ste 101 , Biloxi MS 39532-2105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tadlock, Rachael F can be contacted via phone (228) 388-0062.Contact Information
Primary practice address
1721 Medical Park Dr Ste 101
Biloxi MS 39532-2105
Phone: (228) 388-0062
Fax: (228) 388-1701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17319 | Mississippi |
Profile Details
| NPI number | 1942367164 |
|---|---|
| LBN Legal business name | Tadlock, Rachael F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| 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 | 1942367164 | NPPES |
| Mississippi | MEDICAID | 00124506 |
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