Michael L Atkeison
Individual provider Active NPI Pharmacist · Ecru, MS
NPI 1710049259 · NPPES record last updated Oct 23, 2008
Key facts
- NPI
- 1710049259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-5752 (MS)
- Practice address
- 186 Main St
Ecru, MS 38841-9432 - Phone
- (662) 489-8084
- Fax
- (662) 489-8484
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5752 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael L Atkeison | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-5752 | MS | Yes |
Addresses
Primary practice location
186 Main St
Ecru, MS 38841-9432
Mailing address
1008 Martintown Rd
New Albany, MS 38652-1901
Phone (662) 534-3342
Other providers in Ecru, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.