Shirley, Deborah Aline
Shirley, Deborah Aline is an individual health care provider with primary practice located at 5 Professional Plz , Starkville MS 39759-1900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shirley, Deborah Aline can be contacted via phone (662) 323-0999.Contact Information
Primary practice address
5 Professional Plz
Starkville MS 39759-1900
Phone: (662) 323-0999
Fax: (662) 324-0250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13209 | Mississippi |
Profile Details
| NPI number | 1144232109 |
|---|---|
| LBN Legal business name | Shirley, Deborah Aline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Nov 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144232109 | NPPES |
| Mississippi | MEDICAID | 00113620 | |
| Mississippi | Other | 09015837 |
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