Thomas, Jackson Scott

Thomas, Jackson Scott is an sole proprietor health care provider with primary practice located at 427 Highway 51 N , Brookhaven MS 39601-2350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Thomas, Jackson Scott can be contacted via phone (601) 835-9270.

Contact Information

Primary practice address
427 Highway 51 N Brookhaven MS 39601-2350
Phone: (601) 835-9270
Fax: (601) 833-5210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15444 Mississippi

Profile Details

NPI number 1982702155
LBN Legal business name Thomas, Jackson Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982702155 NPPES
Mississippi Other MS15444 MS LICENSE NUMBER
Mississippi MEDICAID 00119589 MS LICENSE NUMBER

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