Winn, Eustace Harold
Winn, Eustace Harold is an sole proprietor health care provider with primary practice located at 1391 E Reed Rd , Greenville MS 38703-7234. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Winn, Eustace Harold can be contacted via phone (662) 332-9011.Contact Information
Primary practice address
1391 E Reed Rd
Greenville MS 38703-7234
Phone: (662) 332-9011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2893-95 | Mississippi |
Profile Details
| NPI number | 1023102274 |
|---|---|
| LBN Legal business name | Winn, Eustace Harold |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| 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 | 1023102274 | NPPES |
| Mississippi | MEDICAID | 00660177 |
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