Concannon, Milton D

Concannon, Milton D is an individual health care provider with primary practice located at 303 Marion Ave , Mccomb MS 39648-2707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Concannon, Milton D can be contacted via phone (601) 249-1350.

Contact Information

Primary practice address
303 Marion Ave Mccomb MS 39648-2707
Phone: (601) 249-1350
Fax: (601) 249-1339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 13399 Mississippi
Other Service Providers / Specialist 174400000X 13399 Mississippi

Profile Details

NPI number 1346298049
LBN Legal business name Concannon, Milton D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2013 - about 13 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 1346298049 NPPES
Mississippi MEDICAID 00115292

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