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Contact Information

EDWARD DILLON SR
225 E MINNESOTA ST
BROOKHAVEN, MS39601-3833
 Phone: 601-754-7106
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for EDWARD DILLON SR · (Male)

NPI Number 1649801788
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2020
Last updated 01/28/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # ED716381D
Hospital affiliation(s) Not Available
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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