Beckham, James R

Beckham, James R is an sole proprietor health care provider with primary practice located at 129 E Starling St Suite C, Greenville MS 38701-4725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Beckham, James R can be contacted via phone (662) 725-1500.

Contact Information

Primary practice address
129 E Starling St Suite C Greenville MS 38701-4725
Phone: (662) 725-1500
Fax: (662) 725-1515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 09074 Mississippi

Profile Details

NPI number 1174564397
LBN Legal business name Beckham, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Dec 15th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174564397 NPPES
Mississippi MEDICAID 00013803
Mississippi MEDICAID 113408001
Mississippi MEDICAID 1398608
Mississippi Other P00397655

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