Walley, Elgin Kenneth
Walley, Elgin Kenneth is an individual health care provider with primary practice located at 2174 Henry Hill Drive , Jackson MS 39204. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Walley, Elgin Kenneth can be contacted via phone (601) 922-3888.Contact Information
Primary practice address
2174 Henry Hill Drive
Jackson MS 39204
Phone: (601) 922-3888
Fax: (601) 922-3871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 1588-730R17/80 | Mississippi |
Profile Details
| NPI number | 1922117662 |
|---|---|
| LBN Legal business name | Walley, Elgin Kenneth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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