Mestayer, Roland Joseph

Mestayer, Roland Joseph is an individual health care provider with primary practice located at 2809 Denny Ave , Pascagoula MS 39581-5301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mestayer, Roland Joseph can be contacted via phone (228) 762-1353.

Contact Information

Primary practice address
2809 Denny Ave Pascagoula MS 39581-5301
Phone: (228) 762-1353
Fax: (228) 762-1359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12000 Mississippi

Profile Details

NPI number 1174540066
LBN Legal business name Mestayer, Roland Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1174540066 NPPES
Other RD55624 UNITEDHEALTH CARE
MEDICAID 009208060 UNITEDHEALTH CARE
MEDICAID 00116263 UNITEDHEALTH CARE
MEDICAID 1956465 UNITEDHEALTH CARE

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