Parker, Donald Ricky

Parker, Donald Ricky is an individual health care provider with primary practice located at 1265 Cliff Gookin Blvd , Tupelo MS 38801-6749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Parker, Donald Ricky can be contacted via phone (662) 840-2131.

Contact Information

Primary practice address
1265 Cliff Gookin Blvd Tupelo MS 38801-6749
Fax: (662) 840-2522
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13199 Mississippi

Profile Details

NPI number 1801835343
LBN Legal business name Parker, Donald Ricky
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 12th, 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 1801835343 NPPES
Mississippi MEDICAID 00115001

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