Windham, William Jordan

Windham, William Jordan is an individual health care provider with primary practice located at 1207 Highway 182 W Ste B , Starkville MS 39759-9013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Windham, William Jordan can be contacted via phone (662) 324-1097.

Contact Information

Primary practice address
1207 Highway 182 W Ste B Starkville MS 39759-9013
Phone: (662) 324-1097
Fax: (662) 324-2412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X T-2733 Mississippi
Allopathic & Osteopathic Physicians / Urology 208800000X 25799 Mississippi

Profile Details

NPI number 1861832289
LBN Legal business name Windham, William Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2013
Last updated Oct 12th, 2020 - 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 1861832289 NPPES
Mississippi MEDICAID 03273011

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