Paul Derek Ware in Gulfport - Specialist

Paul Derek Ware - NPI 1053374041

Paul Derek Ware is a Specialist in Gulfport, Mississippi. Paul Derek Ware practices all healthcare services and medical treatments related to Specialist. The NPI Number for Paul Derek Ware is 1053374041. The last update date is 2014-07-11.

Paul Derek Ware's current location address is Po Box 1810, Gulfport, Mississippi. You can contact this provider via phone number 2285751200 and fax number 2285751205. The mailing address for Paul Derek Ware is Po Box 1810, Gulfport, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Derek Ware
Address Po Box 1810, Gulfport, Mississippi
Phone Number 2285751200
Fax Number 2285751205
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053374041
Provider Enumeration Date 2006-04-10
Last Updated Date 2014-07-11

Provider Mailing Address Detail

Address Po Box 1810
City Gulfport
State Mississippi (MS)
Post Code 395021810
Phone Number 2285751200
Fax Number 2285751205

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 25475
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1579009 LA --

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FAQs about Paul Derek Ware

What is the unique 10-digit identifier code issued to Paul Derek Ware by the Centers for Medicare & Medicaid Services?

The Paul Derek Ware has been assigned the NPI (National Provider Identifier) 1053374041 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Paul Derek Ware?

The Paul Derek Ware is physically situated at Po Box 1810, in the city of Gulfport, state of MS, with the postal code 395021810.

What is Paul Derek Ware's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Paul Derek Ware is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1053374041 to Paul Derek Ware?

The Paul Derek Ware received its 1053374041 assignment from the Centers for Medicare & Medicaid Services on 2006-04-10.

When was the information pertaining to Paul Derek Ware most recently updated or revised?

The details related to Paul Derek Ware, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-11.

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