Mozingo, Ronald C
Mozingo, Ronald C is an individual health care provider with primary practice located at 6096 Us Hwy 98 Suite 1A, Hattiesburg MS 39402. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mozingo, Ronald C can be contacted via phone (601) 261-2467.Contact Information
Primary practice address
6096 Us Hwy 98 Suite 1A
Hattiesburg MS 39402
Phone: (601) 261-2467
Fax: (601) 296-6685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 470 | Mississippi |
Profile Details
| NPI number | 1841363629 |
|---|---|
| LBN Legal business name | Mozingo, Ronald C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841363629 | NPPES |
| Mississippi | Other | P00037724 | PALMETTO GBA RR MEDICARE |
| Mississippi | MEDICAID | 00087886 | PALMETTO GBA RR MEDICARE |
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