Weathersby, Patricia
Weathersby, Patricia is an sole proprietor health care provider with primary practice located at 202 W Park Ave , Greenwood MS 38930-3009. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Weathersby, Patricia can be contacted via phone (662) 453-0646.Contact Information
Primary practice address
202 W Park Ave
Greenwood MS 38930-3009
Phone: (662) 453-0646
Fax: (662) 455-6842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 08062 | Mississippi |
Profile Details
| NPI number | 1013905272 |
|---|---|
| LBN Legal business name | Weathersby, Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013905272 | NPPES |
| Mississippi | MEDICAID | 00122953 |
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