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Contact Information

JOHN A BELLAN JR, MD
501 MARSHALL ST
STE 104
JACKSON, MS39202
 Phone: 601-969-6404
 Fax: 601-973-4541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN A BELLAN JR · (Male)

NPI Number 1609883446
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 07/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 16704
  • MS Medicaid 00121619
Hospital affiliation(s)
  • MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care)
    1225 N STATE ST
    JACKSON, MS 39202
  • MONTFORT JONES MEMORIAL HOSPITAL - (Critical Access)
    220 HWY 12 WEST
    KOSCIUSKO, MS 39090
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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