Street, Eric
Street, Eric is an sole proprietor health care provider with primary practice located at 1573 Medical Park Cir , Tupelo MS 38801-6580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Street, Eric can be contacted via phone (662) 844-9885.Contact Information
Primary practice address
1573 Medical Park Cir
Tupelo MS 38801-6580
Phone: (662) 844-9885
Fax: (662) 842-1350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20590 | Mississippi |
Profile Details
| NPI number | 1891906657 |
|---|---|
| LBN Legal business name | Street, Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Aug 18th, 2009 - about 17 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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