Stretch, Tommie Brian

Stretch, Tommie Brian is an individual health care provider with primary practice located at 55 Sergeant Prentiss Dr Suite 7, Natchez MS 39120-4782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stretch, Tommie Brian can be contacted via phone (601) 445-9543.

Contact Information

Primary practice address
55 Sergeant Prentiss Dr Suite 7 Natchez MS 39120-4782
Phone: (601) 445-9543
Fax: (601) 445-9803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12805 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 019243 Louisiana

Profile Details

NPI number 1174576730
LBN Legal business name Stretch, Tommie Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 1st, 2020 - about 5 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 1174576730 NPPES
Louisiana MEDICAID 1928291
Louisiana MEDICAID 00113941

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