Mennefield, Dwayne Patrick

Mennefield, Dwayne Patrick is an sole proprietor health care provider with primary practice located at 977 Ellis Ave , Jackson MS 39209-6256. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Mennefield, Dwayne Patrick can be contacted via phone (601) 944-9965.

Contact Information

Primary practice address
977 Ellis Ave Jackson MS 39209-6256
Phone: (601) 944-9965
Fax: (601) 969-6419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X E-08306 Mississippi

Profile Details

NPI number 1407560212
LBN Legal business name Mennefield, Dwayne Patrick
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2023
Last updated Jan 6th, 2023 - about 3 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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