Lindstrom, Eric Everett

Lindstrom, Eric Everett is an individual health care provider with primary practice located at 1020 Adams St , Laurel MS 39440-4365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lindstrom, Eric Everett can be contacted via phone (601) 426-9454.

Contact Information

Primary practice address
1020 Adams St Laurel MS 39440-4365
Fax: (601) 426-9476
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 07529 Mississippi

Profile Details

NPI number 1225142458
LBN Legal business name Lindstrom, Eric Everett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
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 1225142458 NPPES
Mississippi MEDICAID 0015799

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