Adams, Jeremy Caleb
Adams, Jeremy Caleb is an individual health care provider with primary practice located at 1211 S Gloster St Ste A , Tupelo MS 38801-6548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Adams, Jeremy Caleb can be contacted via phone (662) 767-4200.Contact Information
Primary practice address
1211 S Gloster St Ste A
Tupelo MS 38801-6548
Phone: (662) 767-4200
Fax: (662) 767-4204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 27003 | Mississippi |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 27003 | Mississippi |
Profile Details
| NPI number | 1023458452 |
|---|---|
| LBN Legal business name | Adams, Jeremy Caleb |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2013 |
| Last updated | Oct 18th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023458452 | NPPES |
| Mississippi | MEDICAID | 00854539 |
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