Emerle, Agnes

Emerle, Agnes is an individual health care provider with primary practice located at 2 W Lakeview Dr Suite 2, Columbia MS 39429-7960. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Emerle, Agnes can be contacted via phone (601) 444-4798.

Contact Information

Primary practice address
2 W Lakeview Dr Suite 2 Columbia MS 39429-7960
Fax: (601) 444-5127
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17887 Mississippi

Profile Details

NPI number 1033273313
LBN Legal business name Emerle, Agnes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033273313 NPPES
Mississippi MEDICAID 00126889

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