Aultman, Virgil Isaac
Aultman, Virgil Isaac is an sole proprietor health care provider with primary practice located at 2747 Old Canton Rd , Jackson MS 39216-4308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Aultman, Virgil Isaac can be contacted via phone (601) 366-6452.Contact Information
Primary practice address
2747 Old Canton Rd
Jackson MS 39216-4308
Phone: (601) 366-6452
Fax: (601) 366-6488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 06153 | Mississippi |
Profile Details
| NPI number | 1922006279 |
|---|---|
| LBN Legal business name | Aultman, Virgil Isaac |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Mar 15th, 2010 - about 16 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 | 1922006279 | NPPES |
| Mississippi | MEDICAID | 00013576 |
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