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
Fax: (662) 842-1350
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers