Myers, Michele Poliskin
Myers, Michele Poliskin is an individual health care provider with primary practice located at 1225 N State St , Jackson MS 39202-2064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Myers, Michele Poliskin can be contacted via phone (601) 292-4639.Contact Information
Primary practice address
1225 N State St
Jackson MS 39202-2064
Phone: (601) 292-4639
Fax: (601) 968-1310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26736 | Mississippi |
Profile Details
| NPI number | 1386039691 |
|---|---|
| LBN Legal business name | Myers, Michele Poliskin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2015 |
| Last updated | Aug 15th, 2019 - about 7 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 | 1386039691 | NPPES |
| Mississippi | MEDICAID | 06783777 |
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