Fitchie, James Gordon

Fitchie, James Gordon is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fitchie, James Gordon can be contacted via phone (601) 984-6036.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-6036
Fax: (601) 984-6039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2176-85 Mississippi

Profile Details

NPI number 1356474266
LBN Legal business name Fitchie, James Gordon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 18 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 1356474266 NPPES
Mississippi MEDICAID 660324

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