Zevallos, Mabel
Zevallos, Mabel is an individual health care provider with primary practice located at 1200 N State St Ste 270 , Jackson MS 39202-2027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Zevallos, Mabel can be contacted via phone (601) 714-6470.Contact Information
Primary practice address
1200 N State St Ste 270
Jackson MS 39202-2027
Phone: (601) 714-6470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 19001 | Mississippi |
Profile Details
| NPI number | 1336197649 |
|---|---|
| LBN Legal business name | Zevallos, Mabel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jan 9th, 2024 - about 2 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 | 1336197649 | NPPES |
| Mississippi | MEDICAID | 01452591 |
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