Wilkaitis, John Elgin

Wilkaitis, John Elgin is an sole proprietor health care provider with primary practice located at 4500 Interstate 55 Frontage Road N Suite 234, Jackson MS 39211-5931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Wilkaitis, John Elgin can be contacted via phone (601) 982-8531.

Contact Information

Primary practice address
4500 Interstate 55 Frontage Road N Suite 234 Jackson MS 39211-5931
Phone: (601) 982-8531
Fax: (888) 735-7202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17435 Mississippi
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2005021711 Missouri
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 17435 Mississippi

Profile Details

NPI number 1154360824
LBN Legal business name Wilkaitis, John Elgin
Credentials M.D.,M.B.A., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Feb 26th, 2019 - about 5 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 1154360824 NPPES
Mississippi Other $$$$$$$$$ BLUE CROSS
Mississippi MEDICAID 03932074 BLUE CROSS
Mississippi MEDICAID 207430414 BLUE CROSS

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