Wyatt Ashmead, Josephine

Wyatt Ashmead, Josephine is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Pediatric Pathology is her primary health care specialty. Wyatt Ashmead, Josephine can be contacted via phone (601) 984-1540.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-1540
Fax: (601) 984-1531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 17447 Mississippi
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 17447 Mississippi
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 17447 Mississippi

Profile Details

NPI number 1518304229
LBN Legal business name Wyatt Ashmead, Josephine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2013
Last updated Dec 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518304229 NPPES
Mississippi MEDICAID 00122583

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