Stanford, James Keith

Stanford, James Keith is an individual health care provider with primary practice located at 2200 Highway 61 N Ste 2300 , Vicksburg MS 39183-8246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stanford, James Keith can be contacted via phone (601) 883-3320.

Contact Information

Primary practice address
2200 Highway 61 N Ste 2300 Vicksburg MS 39183-8246
Phone: (601) 883-3320
Fax: (601) 883-3326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X T-3219 Mississippi

Profile Details

NPI number 1063866705
LBN Legal business name Stanford, James Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2016
Last updated Feb 28th, 2022 - about 4 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 1063866705 NPPES
Mississippi MEDICAID 01882015

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