National Provider Identifier Database

WEST MISSISSIPPI MEDICAL SERVICES
Addiction Medicine


Contact Information

WEST MISSISSIPPI MEDICAL SERVICES
100 MCAULEY DR
VICKSBURG, MS39183-2825
Phone: 601-883-3532
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 207QA0401X

* Indicates primary specialty

NPI Profile & details for WEST MISSISSIPPI MEDICAL SERVICES

NPI Number 1215451794
Legal business name
LBN
WEST MISSISSIPPI MEDICAL SERVICES
Authorized official STANLEY EASTERLING - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/27/2017
Last updated 07/27/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 10687

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.

Reviews for WEST MISSISSIPPI MEDICAL SERVICES

There are currently no reviews for WEST MISSISSIPPI MEDICAL SERVICES


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