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Contact Information

JOHN K MANSEL, MD
2500 N STATE STREET
JACKSON, MS39216-4500
 Phone: 601-984-5602
 Fax: 601-984-6439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN K MANSEL · (Male)

NPI Number 1528242724
Status Active
Credentials MD
Entity Individual
Enumeration date 12/24/2007
Last updated 12/08/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 08768
  • IA Medicaid ENROLLED
  • MN Medicaid ENROLLED
  • MS Medicaid 00115528
  • MN Other P01064280 MEDICARE RAILROAD
  • MS Other 08768 FREE CLINIC
Hospital affiliation(s)
  • UNIVERSITY OF MISSISSIPPI MED CENTER - (Acute Care)
    2500 N STATE ST
    JACKSON, MS 39216
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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