Wilson, James Keenan

Wilson, James Keenan is an individual health care provider with primary practice located at 500 Veterans Memorial Blvd S , Eupora MS 39744-2215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wilson, James Keenan can be contacted via phone (662) 258-6221.

Contact Information

Primary practice address
500 Veterans Memorial Blvd S Eupora MS 39744-2215
Phone: (662) 258-6221
Fax: (662) 258-9291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 14441 Mississippi
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14441 Mississippi

Profile Details

NPI number 1003841354
LBN Legal business name Wilson, James Keenan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jun 13th, 2016 - about 9 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 1003841354 NPPES
Mississippi MEDICAID 0113851

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