Sisk, Jamie Don

Sisk, Jamie Don is an individual health care provider with primary practice located at 203 S 12Th Ave , Laurel MS 39440-4324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Sisk, Jamie Don can be contacted via phone (601) 649-9706.

Contact Information

Primary practice address
203 S 12Th Ave Laurel MS 39440-4324
Phone: (601) 649-9706
Fax: (601) 649-9708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 18509 Mississippi

Profile Details

NPI number 1457489429
LBN Legal business name Sisk, Jamie Don
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated May 18th, 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 1457489429 NPPES
Mississippi MEDICAID 09301826

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