Lenoir, Eric T

Lenoir, Eric T is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 657 , Jackson MS 39216-4608. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lenoir, Eric T can be contacted via phone (601) 200-2780.

Contact Information

Primary practice address
971 Lakeland Dr Ste 657 Jackson MS 39216-4608
Phone: (601) 200-2780
Fax: (601) 200-2788
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00149 Mississippi

Profile Details

NPI number 1386639359
LBN Legal business name Lenoir, Eric T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Feb 26th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386639359 NPPES
Mississippi MEDICAID 04378509
Mississippi Other PAT9103451

Popular Providers