Middleton, Robert

Middleton, Robert is an individual health care provider with primary practice located at 971 Lakeland Dr Suite 1052, Jackson MS 39216-4643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Middleton, Robert can be contacted via phone (601) 914-9503.

Contact Information

Primary practice address
971 Lakeland Dr Suite 1052 Jackson MS 39216-4643
Fax: (601) 981-7895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 13782 Mississippi

Profile Details

NPI number 1790734960
LBN Legal business name Middleton, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Oct 31st, 2011 - about 15 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 1790734960 NPPES
Mississippi MEDICAID 00120557

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