National Provider Identifier Database

MEMORIAL HOSPITAL AT GULFPORT
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

MEMORIAL HOSPITAL AT GULFPORT
1340 BROAD AVE
SUITE 140
GULFPORT, MS39501-2404
Phone: 228-818-0563
Fax: 228-818-0519
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for MEMORIAL HOSPITAL AT GULFPORT

NPI Number 1063663490
Legal business name
LBN
MEMORIAL HOSPITAL AT GULFPORT
Authorized official JEFF STEINER - (VP OF FINANCE)
Entity Organization
Organization subpart No
Enumeration date 10/03/2008
Last updated 01/03/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 05576036

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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