Bristol, Gerald Allen
Bristol, Gerald Allen is an individual health care provider with primary practice located at 925 Tommy Munro Dr Suite A, Biloxi MS 39532-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bristol, Gerald Allen can be contacted via phone (228) 388-3993.Contact Information
Primary practice address
925 Tommy Munro Dr Suite A
Biloxi MS 39532-2134
Phone: (228) 388-3993
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12480 | Mississippi |
Profile Details
| NPI number | 1720022122 |
|---|---|
| LBN Legal business name | Bristol, Gerald Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1720022122 | NPPES |
| Mississippi | MEDICAID | 02939763 |
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