Short, Valerie

Short, Valerie is an individual health care provider with primary practice located at 3502 W Northside Dr , Jackson MS 39213-4454. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Short, Valerie can be contacted via phone (601) 362-5321.

Contact Information

Primary practice address
3502 W Northside Dr Jackson MS 39213-4454
Phone: (601) 362-5321
Fax: (601) 981-2016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13295 Mississippi

Profile Details

NPI number 1639118805
LBN Legal business name Short, Valerie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 27th, 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 1639118805 NPPES
Mississippi MEDICAID 00110568

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