Moremen, Jacob

Moremen, Jacob is an individual health care provider with primary practice located at 2500 North State Street , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Moremen, Jacob can be contacted via phone (601) 984-5452.

Contact Information

Primary practice address
2500 North State Street Jackson MS 39216-4500
Phone: (601) 984-5452
Fax: (601) 815-3322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 24447 Mississippi

Profile Details

NPI number 1972743797
LBN Legal business name Moremen, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2009
Last updated Sep 9th, 2016 - about 9 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 1972743797 NPPES
Mississippi MEDICAID 05089861

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