Morris, Robert Tim

Morris, Robert Tim is an individual health care provider with primary practice located at 1190 N State St Lower Level, Jackson MS 39202-2413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Morris, Robert Tim can be contacted via phone (601) 968-1377.

Contact Information

Primary practice address
1190 N State St Lower Level Jackson MS 39202-2413
Phone: (601) 968-1377
Fax: (601) 292-4595
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11755 Mississippi

Profile Details

NPI number 1154390516
LBN Legal business name Morris, Robert Tim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 9th, 2012 - about 14 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 1154390516 NPPES
Mississippi Other 168390705 US DEPT OF LABOR
Mississippi Other 753068151004 US DEPT OF LABOR

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