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Contact Information

WILLIAM E GUSA JR, MD
2500 NORTH STATE STREET
JACKSON, MS39216-4500
 Phone: 601-815-1196
 Fax: 601-984-5939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for WILLIAM E GUSA JR · (Male)

NPI Number 1083614317
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 04/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 24076
  • PA License # MD052249L
  • PA Medicaid 0014801510003
  • MS Other P01620200 RAILROAD MEDICARE
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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