West, Flavia H
West, Flavia H is an sole proprietor health care provider with primary practice located at 183 S Main St , Pontotoc MS 38863-3209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. West, Flavia H can be contacted via phone (662) 489-5038.Contact Information
Primary practice address
183 S Main St
Pontotoc MS 38863-3209
Phone: (662) 489-5038
Fax: (662) 489-7004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10750 | Mississippi |
Profile Details
| NPI number | 1538276191 |
|---|---|
| LBN Legal business name | West, Flavia H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jan 23rd, 2013 - about 12 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 | 1538276191 | NPPES |
| Mississippi | MEDICAID | 00019567 |
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