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Contact Information

ROBERT K MEHRLE JR, MD
1325 E FORTIFICATION ST
JACKSON, MS39202-2442
 Phone: 601-354-4488
 Fax: 601-960-4586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT K MEHRLE JR · (Male)

NPI # 1639117245
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2006
Last updated 02/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 17298
  • MS Medicaid 01227851
  • MS Other 200000479 MEDICARE
  • MS Other 52I200004 MEDICARE PTAN
  • MS Other P00645611 RR PTAN
  • MS Other P00325234 RROAD MEDICARE
  • MS Other 512G700003 UP MEDICARE
Hospital affiliation(s)
  • KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN - (Acute Care)
    P O BOX 948/427 HIGHWAY 51 NORTH
    BROOKHAVEN, MS 39601
  • MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care)
    1225 N STATE ST
    JACKSON, MS 39202
  • MISSISSIPPI METHODIST REHAB CTR - (Acute Care)
    1350 E WOODROW WILSON DR
    JACKSON, MS 39216
  • RUSH FOUNDATION HOSPITAL - (Acute Care)
    1314 19TH AVE
    MERIDIAN, MS 39301
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    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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