Ervin, James Wilfred

Ervin, James Wilfred is an individual health care provider with primary practice located at 104 W Railroad Ave S , Crystal Springs MS 39059-2111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ervin, James Wilfred can be contacted via phone (601) 892-3063.

Contact Information

Primary practice address
104 W Railroad Ave S Crystal Springs MS 39059-2111
Phone: (601) 892-3063
Fax: (601) 892-3570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11355 Mississippi

Profile Details

NPI number 1619903580
LBN Legal business name Ervin, James Wilfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jan 13th, 2015 - about 10 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 1619903580 NPPES
Mississippi MEDICAID 06726832

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